Washington, IL —
OSHA Injury Report: 021-00657
Injury · Days away from work
At a glance
On , an injury at 021-00657 in Washington, IL 61571 resulted in days away from work. Employee was pRODUCE CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00657
- Parent company
- Kroger Central KMA
- Street
- 20 Cherry Tree Shopping Ctr
- City
- Washington
- State
- IL
- ZIP
- 61571
- On-site location
- GROCERY BACKROOM NEAR RESTROOMS
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 141
Before the incident
WALKING
What happened
EE WAS WALKING INTO THE RESTROOM AND EE SLIPPED ON WATER LEAKING FROM A PALLET OF MULTI PACK WATER EE HURT HIS LEFT SHOULDER ONTO THE PALLET OF MULTI PACK WATER
Injury or illness
Strained Left Shoulder s Fall from liquid grease wet slippery floor
Object or substance involved
wet slippery floor
Summary line
EE WAS WALKING INTO THE RESTROOM AND EE SLIPPED ON WATER LEAKING FROM A PALLET OF MULTI PACK WATER
Employee and industry
- Job description
- PRODUCE CLERK
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 111
- Total hours worked
- 158375
- EIN
- 311569568
- Establishment ID
- 963673
- Employer case #
- 895865
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 10:30
- Filing year
- 2025
- Submitted
- 17FEB26:14:55:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.