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 e commerce cler 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 PICK UP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 23
Before the incident
FILLING VEHICLE S TRUNK
What happened
EE HIT HEAD ON THE TRUCK LID WHILE PLACING GROCERIES INTO THE VEHICLES EE FEEL DISORIENTED AND THINKS HE HAS A CONCUSSION AS HE HAS HAD THEM IN THE PAST
Injury or illness
Concussion Anterior Face Caught in collapsing material TRUNK LID
Object or substance involved
TRUNK LID
Summary line
EE HIT HEAD ON THE TRUCK LID WHILE PLACING GROCERIES INTO THE VEHICLES EE FEEL DISORIENTED AND THIN
Employee and industry
- Job description
- e COMMERCE CLER
- 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 #
- 908299
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 16:15
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-17
More injuries at 021-00990
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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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