Boulder, CO —
OSHA Injury Report: 620-00028
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00028 in Boulder, CO 80301 resulted in job transfer or restriction. Employee was sTORE NIGHT LEADER in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00028
- Parent company
- King Soopers
- Street
- 6550 Lookout Rd
- City
- Boulder
- State
- CO
- ZIP
- 80301
- On-site location
- DAIRY COOLER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 28
Before the incident
EXITING COOLER
What happened
EE RAN OVER HIS LEFT FOOT AND ANKLE WITH POWER JACK WHILE ATTEMPTING TO HOLD OPEN DAIRY COOLER DOOR AND EXIT COOLER
Injury or illness
Bruised Left Foot Struck by object being handled POWER JACK
Object or substance involved
POWER JACK
Summary line
Bruised Left Foot Struck by object being handled POWER JACK
Employee and industry
- Job description
- STORE NIGHT LEADER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 111
- Total hours worked
- 174855
- EIN
- 480196590
- Establishment ID
- 966497
- Employer case #
- 871350
When (timing detail)
- Date of incident
- Shift started
- 21:00
- Time of incident
- 23:35
- Filing year
- 2024
- Submitted
- 25FEB2025:20:55:00
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.