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 gROCERY DEPT LE 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
- AISLE 4
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 14
Before the incident
STOCKING HIGH SHELVES ON LADDER
What happened
EE CLAIMS HE WAS REACHING TO TOP STOCKSHELF ON THE 2ND STEP OF 3 STEP STEPLADDER AS HE CAME DOWN THE LADDER BROKE UNDERNEATH HIM EE FELL BACKWARDS BREAKING FALL WITH SHOULDER AND WRIST LANDED ON [REDACTED] AND [REDACTED] REPORTED HE HIT HIS HEAD
Injury or illness
Bruised Right Knee Fall from ladder scaffold floor
Object or substance involved
floor
Summary line
Bruised Right Knee Fall from ladder scaffold floor
Employee and industry
- Job description
- GROCERY DEPT LE
- SOC code
- 9999 — Uncoded
- 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 #
- 880472
When (timing detail)
- Date of incident
- Shift started
- 3:00
- Time of incident
- 4:00
- 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.