Fort Wayne, IN ·
OSHA Injury Report: 021-00990
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00990 in 5725 Coventry Ln, Fort Wayne, IN 46804 resulted in job transfer or restriction. Employee was deli clerk in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00990
- Parent company
- Kroger Central KMA
- Street
- 5725 Coventry Ln
- City
- Fort Wayne
- State
- IN
- ZIP
- 46804
- On-site location
- DELI DEPT PREP ROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 25
Before the incident
BENDING DOWN
What happened
EE strained her back when she bent down to grab something Believe it was a strain from yesterday when she bent down and today restrained it
Injury or illness
Strained Posterior Low back Strained SELF
Object or substance involved
SELF
Summary line
Strained Posterior Low back Strained SELF
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 265
- Hours worked at this establishment (2024 total)
- 352,793
- EIN
- 311569568
- Establishment ID
- 963760
- Employer case #
- 869950
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 15:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-25
More injuries at 021-00990
View 021-00990's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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