Jefferson, GA ·
OSHA Injury Report: 011-00638
Injury · Job transfer or restriction
At a glance
On , an injury at 011-00638 in 1685 Old Pendergrass Rd, Jefferson, GA 30549 resulted in job transfer or restriction. Employee was bakery dept LEA in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 011-00638
- Parent company
- Kroger Atlanta KMA
- Street
- 1685 Old Pendergrass Rd
- City
- Jefferson
- State
- GA
- ZIP
- 30549
- On-site location
- GROCERY SALES FLOOR NEAR BAKERY DEPT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 37
Before the incident
LIFTING A BOX UNLOADING PALLET
What happened
SHE WORKING ON A PALLET BOXES AND SHE WENT TO PICK UP A BOX AND FELT A SHARP PAIN LOWER BACK
Injury or illness
Strained Posterior Low back Lifting BOXES OF FROZEN DOUGH
Object or substance involved
BOXES OF FROZEN DOUGH
Summary line
SHE WORKING ON A PALLET BOXES AND SHE WENT TO PICK UP A BOX AND FELT A SHARP PAIN LOWER BACK
Employee and industry
- Job description
- BAKERY DEPT LEA
- SOC code
- 41-2031: Retail Salespersons
- NAICS code
- 445110: Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 212
- Hours worked at this establishment (2025 total)
- 271,546
- EIN
- 310345740
- Establishment ID
- 963037
- Employer case #
- 893679
When (timing detail)
- Date of incident
- Shift started
- 05:30
- Time of incident
- 07:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-17
More injuries at 011-00638
View 011-00638'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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