Jefferson, GA ·
OSHA Injury Report: 011-00638
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at 011-00638 in 1685 Old Pendergrass Rd, Jefferson, GA 30549 resulted in days away from work. Employee was store night clerk 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
- Grocery
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Respiratory condition (code 3)
- Days away from work
- 5
Before the incident
Performing job duties
What happened
EE is alleging contracing COVID 19 while at work
Injury or illness
COVID 19 Lungs Pandemic COVID 19
Object or substance involved
Covid-19
Summary line
COVID 19 Lungs Pandemic COVID 19
Employee and industry
- Job description
- STORE NIGHT CLERK
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 227
- Hours worked at this establishment (2023 total)
- 268,535
- EIN
- 310345740
- Establishment ID
- 963037
- Employer case #
- 24_211256
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-27
More injuries at 011-00638
View 011-00638'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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