Indianapolis, IN —
OSHA Injury Report: 021-00804
Injury · Other recordable case
At a glance
On , an injury at 021-00804 in Indianapolis, IN 46220 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00804
- Parent company
- Kroger Central KMA
- Street
- 5810 E 71St St
- City
- Indianapolis
- State
- IN
- ZIP
- 46220
- On-site location
- OUTSIDE OF STORE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING
What happened
EE was outside walking on the side walk in front of the building He bumped against the floral rack and sustained a laceration to is left tricep He was provided 1st aide and was given a band aid He was picked up by his parents No authorities
Injury or illness
Lacerated Left Upper arm Cut punctured scraped floral rack
Object or substance involved
floral rack
Summary line
EE was outside walking on the side walk in front of the building He bumped against the floral rack
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 129
- Total hours worked
- 192516
- EIN
- 311569568
- Establishment ID
- 963680
- Employer case #
- 893594
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 19:00
- 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.