Douglasville, GA · 2025-10-25

OSHA Injury Report: 011-00485

Injury · Job transfer or restriction

At a glance

On 2025-10-25, an injury at 011-00485 in 3875 Chapel Hill Rd, Douglasville, GA 30135 resulted in job transfer or restriction. Employee was deli dept leade in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment: 011-00485
Parent company: Kroger Atlanta KMA
Street: 3875 Chapel Hill Rd
City: Douglasville
State: GA
ZIP: 30135
On-site location: DELI DEPT BACKROOM

What was the outcome?

Outcome: Job transfer or restriction (code 3)
Type: Injury (code 1)
Days restricted or transferred: 93

Before the incident

LIFTING A BOX OF CHICKEN

What happened

EE SHE WAS COOKING CHICKEN AND SHE WENT TO LIFT A BOX OF CHICKEN OFF OF A GREEN CART AND FELT HER RIGHT SHOULDER POP

Injury or illness

Rupture Right Shoulder s Lifting box of chicken

Object or substance involved

box of chicken

Summary line

EE SHE WAS COOKING CHICKEN AND SHE WENT TO LIFT A BOX OF CHICKEN OFF OF A GREEN CART AND FELT HER RI

Employee and industry

Job description: DELI DEPT LEADE
SOC code: 41-1011: First-Line Supervisors of Retail Sales Workers
NAICS code: 445110: Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage: 2012
Employees at this establishment (2025 average): 126
Hours worked at this establishment (2025 total): 182,529
EIN: 310345740
Establishment ID: 963009
Employer case #: 905862

When (timing detail)

Date of incident: 2025-10-25
Shift started: 06:00
Time of incident: 12:15
Filing year: 2025
Submitted to OSHA: 2026-02-17

More injuries at 011-00485

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View 011-00485'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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