Fort Wayne, IN —
OSHA Injury Report: 021-00990
Injury · Days away from work
At a glance
On , an injury at 021-00990 in Fort Wayne, IN 46804 resulted in days away from work. Employee was gROCERY 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
- DAIRY COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 11
- Days restricted or transferred
- 110
Before the incident
MOVING PALLET
What happened
EE WAS PULLING PALLET TO DAIRY COOLER BECAME STUCK BETWEEN 2 PALLETS EE HIT STACK OF MILK WENT TO MOVE AND FELT POP IN RIGHT BICEP
Injury or illness
Strained Right Upper arm Strained self
Object or substance involved
self
Summary line
Strained Right Upper arm Strained self
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
- 265
- Total hours worked
- 352793
- EIN
- 311569568
- Establishment ID
- 963760
- Employer case #
- 872731
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 21:40
- 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.