Fort Wayne, IN ·
OSHA Injury Report: 021-00990
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00990 in 5725 Coventry Ln, Fort Wayne, IN 46804 resulted in job transfer or restriction. Employee was produce primeti in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00990
- Parent company
- Kroger Central KMA
- Street
- 5725 Coventry Ln
- City
- Fort Wayne
- State
- IN
- ZIP
- 46804
- On-site location
- GROCERY BACKROOM RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
LIFTING A WOODEN PALLET ONTO STACK
What happened
EE WAS IN RECIEVING AND HE LIFTED A WOODEN PALLET TO PUT ON A STACK OF PALLETS WHEN HIS RIGHT SHOULDER POPPED RESULTING IN PAIN IN HIS RIGHT SHOULDER
Injury or illness
Strained Right Shoulder s Lifting WOODEN PALLET
Object or substance involved
WOODEN PALLET
Summary line
EE WAS IN RECIEVING AND HE LIFTED A WOODEN PALLET TO PUT ON A STACK OF PALLETS WHEN HIS RIGHT SHOULD
Employee and industry
- Job description
- PRODUCE PRIMETI
- 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
- Employees at this establishment (2025 average)
- 268
- Hours worked at this establishment (2025 total)
- 361,880
- EIN
- 311569568
- Establishment ID
- 963760
- Employer case #
- 889227
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 20:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-17
More injuries at 021-00990
View 021-00990'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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