Colorado Springs, CO ·
OSHA Injury Report: 620-00133
Injury · Days away from work
At a glance
On , an injury at 620-00133 in 3250 Centennial Blvd, Colorado Springs, CO 80907 resulted in days away from work. Employee was produce clerk in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00133
- Parent company
- King Soopers
- Street
- 3250 Centennial Blvd
- City
- Colorado Springs
- State
- CO
- ZIP
- 80907
- On-site location
- FLORAL DEPARTMENT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 15
- Days restricted or transferred
- 25
Before the incident
FILLING BALLOONS
What happened
EE was working wet wall and notified to assist customer to fill balloons store is under remodel and it was carpet rolled on floor and EE tripped over carpet and fell full forwarded and landed on right elbow and fell down Sustained contusions to rig
Injury or illness
Strained Right Upper extremities Fall on same level floor
Object or substance involved
floor
Summary line
EE was working wet wall and notified to assist customer to fill balloons store is under remodel and
Employee and industry
- Job description
- PRODUCE CLERK
- 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)
- 159
- Hours worked at this establishment (2025 total)
- 247,268
- EIN
- 480196590
- Establishment ID
- 966587
- Employer case #
- 892514
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 06:50
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-17
More injuries at 620-00133
View 620-00133'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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