Fort Wayne, IN —
OSHA Injury Report: 021-00973
Injury · Other recordable case
At a glance
On , an injury at 021-00973 in Fort Wayne, IN 46835 resulted in other recordable case. Employee was fLORAL CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00973
- Parent company
- Kroger Central KMA
- Street
- 6002 Saint Joe Center Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46835
- On-site location
- FLORAL DEPT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
MOVING FLORAL TABLE
What happened
EE WAS PUSHING A FLORAL TABLE UNDER ANOTHER TABLE THE TABLE LEGS SNAPPED AND CAUSED THE EE TO FALL ON TOP OF TABLES EE INJURED HIP WITH SMALL FRACTURE cm hit her face on a table injured left shoulder left hip and left knee it was a piece of wood
Injury or illness
Bruised Left Hip Fall broken floral table
Object or substance involved
broken floral table
Summary line
EE WAS PUSHING A FLORAL TABLE UNDER ANOTHER TABLE THE TABLE LEGS SNAPPED AND CAUSED THE EE TO FALL
Employee and industry
- Job description
- FLORAL CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 246
- Total hours worked
- 332318
- EIN
- 311569568
- Establishment ID
- 963749
- Employer case #
- 890778
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 10:00
- 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.