Lilburn, GA ·
OSHA Injury Report: 011-00394
Injury · Days away from work
At a glance
On , an injury at 011-00394 in 3050 Five Forks Trickum Rd SW, Lilburn, GA 30047 resulted in days away from work. Employee was seafood lead CL in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 011-00394
- Parent company
- Kroger Atlanta KMA
- Street
- 3050 Five Forks Trickum Rd SW
- City
- Lilburn
- State
- GA
- ZIP
- 30047
- On-site location
- SEAFOOD PREP ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 126
- Days restricted or transferred
- 54
Before the incident
WALKING
What happened
EE SLIPPED AND FELL ON A RUG THAT HAD WATER UNDERNEATH IT AND LANDING ON HIS LEFT ELBOW SWELLED
Injury or illness
Fracture Left Elbow Fall from liquid grease WET SLIPPERY FLOOR
Object or substance involved
WET SLIPPERY FLOOR
Summary line
EE SLIPPED AND FELL ON A RUG THAT HAD WATER UNDERNEATH IT AND LANDING ON HIS LEFT ELBOW SWELLED
Employee and industry
- Job description
- SEAFOOD LEAD CL
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 445110: Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 131
- Hours worked at this establishment (2025 total)
- 190,918
- EIN
- 310345740
- Establishment ID
- 962941
- Employer case #
- 884694
When (timing detail)
- Date of incident
- Shift started
- 14:14
- Time of incident
- 14:14
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-17
More injuries at 011-00394
View 011-00394's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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