Fort Wayne, IN ·
OSHA Injury Report: 021-00990
Injury · Other recordable case
At a glance
On , an injury at 021-00990 in 5725 Coventry Ln, Fort Wayne, IN 46804 resulted in other recordable case. Employee was pharmacy SR CER 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
- PHARMACY CONSULT ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
GIVING VACCINE
What happened
TECH GAVE VACCINE TO CM TECH WAS KNEELING TO GIVE THE SHOT AND AS HE WAS CAPPING THE NEEDLE HE STUCK HIMSELF ON HIS LEFT INDEX FINGER
Injury or illness
Puncture Left Finger s Needle stick NEEDLE
Object or substance involved
NEEDLE
Summary line
TECH GAVE VACCINE TO CM TECH WAS KNEELING TO GIVE THE SHOT AND AS HE WAS CAPPING THE NEEDLE HE STUC
Employee and industry
- Job description
- PHARMACY SR CER
- SOC code
- 29-1051: Pharmacists
- 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 #
- 897570
When (timing detail)
- Date of incident
- Shift started
- 11:30
- Time of incident
- 14:35
- 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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