Fort Wayne, IN ·
OSHA Injury Report: 021-00990
Injury · Days away from work
At a glance
On , an injury at 021-00990 in 5725 Coventry Ln, Fort Wayne, IN 46804 resulted in days away from work. Employee was drug GEN mdse C 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
- PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 55
Before the incident
WALKING
What happened
EE WAS GOING ON BREAK SLIPPED AND FELL ON ICE IN PARKING LOT LANDED ON ANKLE BROKE RIGHT ANKLE 3 bones on right ankle
Injury or illness
Fracture Right Ankle Fall on ice snow icey ground
Object or substance involved
icey ground
Summary line
EE WAS GOING ON BREAK SLIPPED AND FELL ON ICE IN PARKING LOT LANDED ON ANKLE BROKE RIGHT ANKLE [REDACTED]
Employee and industry
- Job description
- DRUG GEN MDSE C
- SOC code
- 00-9900: Insufficient Information - NIOSH
- 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 #
- 907799
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 20:10
- 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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