Douglasville, GA —
OSHA Injury Report: 011-00366
Injury · Days away from work
At a glance
On , an injury at 011-00366 in Douglasville, GA 30135 resulted in days away from work. Employee was deli Dept Mgr 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
- BACKROOM IN RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
- Days restricted or transferred
- 7
Before the incident
CARRYING BOXES
What happened
EE WAS CARRYING BOXES IN BACKROOM RECEIVING EE GOT THREW DOOR AND THERE WAS A PALLET JACK AND SHE TRIPPED AND FELL EE INJURED LEFT KNEE AND HANDS IN PAIN
Injury or illness
Bruised Left Knee Fall PALLET JACK
Object or substance involved
PALLET JACK
Summary line
Bruised Left Knee Fall PALLET [REDACTED]
Employee and industry
- Job description
- Deli Dept Mgr
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- 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 #
- 861228
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 14:35:00.000
- 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.