Broomfield, CO —
OSHA Injury Report: 620-00086
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00086 in Broomfield, CO 80020 resulted in job transfer or restriction. Employee was courtesy Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00086
- Parent company
- King Soopers
- Street
- 12167 Sheridan Blvd
- City
- Broomfield
- State
- CO
- ZIP
- 80020
- On-site location
- FRONT END AT WEST MAIN ENTRANCE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 36
Before the incident
WALKING OUT TO GET CARTS
What happened
EE was exiting the area to go get carts and a CM was coming into the store and a CM double tapped him one hand hit in the right shoulder and then the other was in the back
Injury or illness
Bruised Posterior Upper back Person in act of crime ASSAILANT
Object or substance involved
ASSAILANT
Summary line
Bruised Posterior Upper back Person in act of crime ASSAILANT
Employee and industry
- Job description
- Courtesy Clerks
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 175
- Total hours worked
- 267208
- EIN
- 480196590
- Establishment ID
- 966545
- Employer case #
- 874090
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 13:18
- 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.