Douglasville, GA —
OSHA Injury Report: 011-00366
Injury · Job transfer or restriction
At a glance
On , an injury at 011-00366 in Douglasville, GA 30135 resulted in job transfer or restriction. Employee was drug GM Dept M in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 011-00366
- Parent company
- Kroger Atlanta KMA
- Street
- 3251 Highway 5
- City
- Douglasville
- State
- GA
- ZIP
- 30135
- On-site location
- DRUG GM AISLE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 54
Before the incident
PUTTING UP WALLPAPER
What happened
EE TRIPPED AND FELL ON PAPER EE HAS APIN TO RIGHT SHOULDER AND ARM
Injury or illness
Sprained Right Upper extremities Fall FLOOR
Object or substance involved
FLOOR
Summary line
Sprained Right Upper extremities Fall FLOOR
Employee and industry
- Job description
- Drug GM Dept M
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 120
- Total hours worked
- 153003
- EIN
- 310345740
- Establishment ID
- 962927
- Employer case #
- 852503
When (timing detail)
- Date of incident
- Shift started
- 23:59:00.000
- Time of incident
- 3:30:00.000
- Submitted
- 27FEB24:20:23:00
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.