Arvada, CO —
OSHA Injury Report: 620-00085
Injury · Other recordable case
At a glance
On , an injury at 620-00085 in Arvada, CO 80007 resulted in other recordable case. Employee was sTORE NIGHT CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00085
- Parent company
- King Soopers
- Street
- 15200 W 64Th Ave
- City
- Arvada
- State
- CO
- ZIP
- 80007
- On-site location
- DAIRY COOLER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PULLING U- BOAT OUT OF COOLER
What happened
EE was pulling U-Boat from the dairy freezer stacked with product A case of yogurt fell from the top of the U-Boat hitting EE in the mouth and knocking out a tooth
Injury or illness
Fracture Anterior Teeth Struck by object BOX OF YOGURT
Object or substance involved
BOX OF YOGURT
Summary line
Fracture Anterior Teeth Struck by object BOX OF YOGURT
Employee and industry
- Job description
- STORE NIGHT CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 155
- Total hours worked
- 240707
- EIN
- 480196590
- Establishment ID
- 966544
- Employer case #
- 884413
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 20:45
- 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.