POTOMAC, MD —
OSHA Injury Report: 6921-00373
Injury · Job transfer or restriction
At a glance
On , an injury at 6921-00373 in POTOMAC, MD 20854 resulted in job transfer or restriction. Industry: Supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- 6921-00373
- Parent company
- Harris Teeter Supermarkets, Inc. PARK POTOMAC
- Street
- 12525 PARK POTOMAC AVE
- City
- POTOMAC
- State
- MD
- ZIP
- 20854
- On-site location
- GROCERY DEPARTMENT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
WORKING REGULAR JOB DUTIES
What happened
EE FELL ON HER LEFT SIDE AND HER BACK. EE SAYS HER HEAD HURTS AND HER LEFT ANKLE AND HIP ARE SORE.
Injury or illness
Strained Left Lower extremities Other injury FLOOR
Object or substance involved
FLOOR
Summary line
EE FELL ON HER LEFT SIDE AND HER BACK. EE SAYS HER HEAD HURTS AND HER LEFT ANKLE AND HIP ARE SORE.
Employee and industry
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 114
- Total hours worked
- 155163
- EIN
- 561390087
- Establishment ID
- 232630
- Employer case #
- 11335
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 16:30:00.000
- Submitted
- 16JAN24:19:02:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.