Jefferson, GA —
OSHA Injury Report: 011-00638
Injury · Days away from work
At a glance
On , an injury at 011-00638 in Jefferson, GA 30549 resulted in days away from work. Employee was deli Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 011-00638
- Parent company
- Kroger Atlanta KMA
- Street
- 1685 Old Pendergrass Rd
- City
- Jefferson
- State
- GA
- ZIP
- 30549
- On-site location
- DELI DEPT SALES FLOOR
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
WORKING FRESH KITCHEN
What happened
ee was picking up a black tote off a rolling cart and the bottom tote slipped out and tripped and fell over the one that was on the floor causing the ee to fall face first hitting their head on the floor and creating a red mark on forehead type of i
Injury or illness
Concussion Anterior Face Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Concussion Anterior Face Fall on same level FLOOR
Employee and industry
- Job description
- Deli Clerks
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 227
- Total hours worked
- 268535
- EIN
- 310345740
- Establishment ID
- 963037
- Employer case #
- 864365
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 8:13:00.000
- Submitted
- 27FEB24:20:24:00
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.