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 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
- GROCERY SALES FLOOR
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 65
Before the incident
PULLING WATER PALLET TO SALES FLOOR
What happened
EE was pulling a pallet of waterpop and felt tightness in his upper Right Shoulder Possible muscle sprain
Injury or illness
Sprained Right Shoulder Pushing or pulling PALLET OF WATER
Object or substance involved
PALLET OF WATER
Summary line
Sprained Right Shoulder Pushing or pulling PALLET OF WATER
Employee and industry
- Job description
- CLERK
- SOC code
- 53-7065: Stockers and Order Fillers
- 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 #
- 873158
When (timing detail)
- Date of incident
- Shift started
- 23:00
- Time of incident
- 02:00
- 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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