Centennial, CO —
OSHA Injury Report: 620-00038
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00038 in Centennial, CO 80122 resulted in job transfer or restriction. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00038
- Parent company
- King Soopers
- Street
- 5050 E Arapahoe Rd
- City
- Centennial
- State
- CO
- ZIP
- 80122
- On-site location
- MENS RESTROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
USING RESTROOM
What happened
EE was in restroom on toilet The seat shifted when the EE stood up This caused the EE to fall forward to the ground Contusion to the left knee from the fall
Injury or illness
Bruised Left Knee Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Bruised Left Knee Fall on same level FLOOR
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
- Avg employees
- 83
- Total hours worked
- 128325
- EIN
- 480196590
- Establishment ID
- 966506
- Employer case #
- 872489
When (timing detail)
- Date of incident
- Shift started
- 10:30
- Time of incident
- 17:00
- 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.