Broomfield, CO —
OSHA Injury Report: 620-00089
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00089 in Broomfield, CO 80020 resulted in job transfer or restriction. Employee was nightcrew Clerk in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00089
- Parent company
- King Soopers
- Street
- 1150 Us Highway 287
- City
- Broomfield
- State
- CO
- ZIP
- 80020
- On-site location
- GROCERY SALES FLOOR AISLE 14
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 20
Before the incident
USING STEP LADDER TO STOCK WHEN IT COLLAPSED
What happened
EE was working in aisle 14 While working on a step ladder EE claims it collapsed under him and he fell on his right side injuring his shoulder
Injury or illness
Strained Right Shoulder Fall from ladder scaffold FLOOR
Object or substance involved
FLOOR
Summary line
Strained Right Shoulder Fall from ladder scaffold FLOOR
Employee and industry
- Job description
- Nightcrew Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 134
- Total hours worked
- 196959
- EIN
- 480196590
- Establishment ID
- 966549
- Employer case #
- 879623
When (timing detail)
- Date of incident
- Shift started
- 21:06
- Time of incident
- 12:00
- 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.