Broomfield, CO —
OSHA Injury Report: 620-00089
Injury · Days away from work
At a glance
On , an injury at 620-00089 in Broomfield, CO 80020 resulted in days away from work. Employee was sTORE NIGHT CLE in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00089
- Parent company
- King Soopers
- Street
- 1150 Us Highway 287
- City
- Broomfield
- State
- CO
- ZIP
- 80020
- On-site location
- DAIRY BACKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 55
- Days restricted or transferred
- 125
Before the incident
WALKING AND TRIPPED
What happened
EE SAID HE TURNED TRIED TO WALK TRIPPED OVER BLACK PLASTIC PALLET BUT NOT SURE WHAT HAPPENED RESULTING IN PAIN IN LEFT SHOULDER SCRAPE ON LEFT KNEE
Injury or illness
Dislocated Left Shoulder s Fall self
Object or substance involved
self
Summary line
EE SAID HE TURNED TRIED TO WALK TRIPPED OVER BLACK PLASTIC PALLET BUT NOT SURE WHAT HAPPENED RES
Employee and industry
- Job description
- STORE NIGHT CLE
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 122
- Total hours worked
- 189575
- EIN
- 480196590
- Establishment ID
- 966549
- Employer case #
- 888066
When (timing detail)
- Date of incident
- Shift started
- 23:00
- Time of incident
- 7:49
- Filing year
- 2025
- Submitted
- 17FEB26:15:34:00
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.