Bourbonnais, IL —
OSHA Injury Report: 021-00984
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00984 in Bourbonnais, IL 60914 resulted in job transfer or restriction. Employee was gROCERY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00984
- Parent company
- Kroger Central KMA
- Street
- 633 Armour Rd
- City
- Bourbonnais
- State
- IL
- ZIP
- 60914
- On-site location
- GROCERY SALES FLOOR AT BREAD AISLE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
MOVING BREAD CRATES
What happened
EE was using a dolly to lift the trays of bread to take them to the back room When he took the doly back he don 't know if he lost his balance but his foot got caught in the dolly The EE fell to the floor and hit lower back His It is UNK which foot
Injury or illness
Bruised Posterior Low back Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Bruised Posterior Low back Fall on same level FLOOR
Employee and industry
- Job description
- GROCERY CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 124
- Total hours worked
- 192253
- EIN
- 311569568
- Establishment ID
- 963756
- Employer case #
- 868232
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 12:30
- Filing year
- 2024
- Submitted
- 25FEB2025:19:46:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.