Frederick, CO —
OSHA Injury Report: 620-00154
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00154 in Frederick, CO 80504 resulted in job transfer or restriction. Employee was sTORE NIGHT LEA in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- 620-00154
- Parent company
- King Soopers
- Street
- 5801 Silverstone Dr
- City
- Frederick
- State
- CO
- ZIP
- 80504
- On-site location
- GROCERY FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
UNLOADING TRUCK
What happened
EE was unloading the frozen truck and putting a palette of ice in the freezer She slipped injuring her back left elbow hip and tailbone on left side EE is going for treatment
Injury or illness
Strained Posterior Tailbone Fall on same level freezer floor
Object or substance involved
freezer floor
Summary line
EE was unloading the frozen truck and putting a palette of ice in the freezer She slipped injuring
Employee and industry
- Job description
- STORE NIGHT LEA
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2022
- Avg employees
- 210
- Total hours worked
- 210516
- EIN
- 480196590
- Establishment ID
- 1474608
- Employer case #
- 896040
When (timing detail)
- Date of incident
- Shift started
- 21:00
- Time of incident
- 23:00
- Filing year
- 2025
- Submitted
- 17FEB26:16:02:00
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.