Douglasville, GA ·
OSHA Injury Report: 011-00616
Injury · Days away from work
At a glance
On , an injury at 011-00616 in 4815 Ridge Rd, Douglasville, GA 30134 resulted in days away from work. Employee was deli clerk in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 011-00616
- Parent company
- Kroger Atlanta KMA
- Street
- 4815 Ridge Rd
- City
- Douglasville
- State
- GA
- ZIP
- 30134
- On-site location
- DELI KITCHEN
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 22
Before the incident
WALKING
What happened
EE WAS WALKING THROUGH DELI KITCHEN AND SLIPPED AND FELL ON WATER PAIN TO RIGHT KNEE
Injury or illness
Bruised Right Knee Fall from liquid orgrease WET or SLIPPERY FLOOR
Object or substance involved
WET SLIPPERY FLOOR
Summary line
Bruised Right Knee Fall from liquid or grease WET or SLIPPERY FLOOR
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 152
- Hours worked at this establishment (2023 total)
- 188,177
- EIN
- 310345740
- Establishment ID
- 963023
- Employer case #
- 859342
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 15:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-27
More injuries at 011-00616
View 011-00616's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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