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 fuel center CLE 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
- FUEL CENTER AT KIOSK DOOR
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 103
Before the incident
TRYING TO HELP CUSTOMER WHEN ATTACKED
What happened
EE INSIDE THE FUEL KIOSK MALE CM BEAT ON THE WINDOW WHEN HE WENT TO OPEN THE DOOR HE WAS ATTACKED BY THE CM HE WAS STUCK IN THE FACE JAW AND THE FORHEAD EE WILL NEED STITCHES UNCLEAR IS THE CM USED A WEAPON
Injury or illness
Fracture Anterior Head Person in act of crime ASSAILANT
Object or substance involved
ASSAILANT
Summary line
EE INSIDE THE FUEL KIOSK MALE [REDACTED] BEAT ON THE WINDOW WHEN HE WENT TO OPEN THE DOOR HE WAS ATTACKE
Employee and industry
- Job description
- FUEL CENTER CLE
- 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 #
- 898967
When (timing detail)
- Date of incident
- Shift started
- 16:30
- Time of incident
- 20:25
- 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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