Kokomo, IN —
OSHA Injury Report: 021-00109
Injury · Days away from work
At a glance
On , an injury at 021-00109 in Kokomo, IN 46901 resulted in days away from work. Employee was courtesy Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00109
- Parent company
- Kroger Central KMA
- Street
- 605 N Dixon Rd
- City
- Kokomo
- State
- IN
- ZIP
- 46901
- On-site location
- FRONT END LOBBY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
PULLING CARTS INTO THE CORRAL
What happened
EE TRIPPED OVER HER OWN FEET STRUCK HER CAR ON A CART LEAVING A BUMP ON THE BACK OF HER HEAD
Injury or illness
Bruised Posterior Face Fall CARTS AND FLOOR
Object or substance involved
CARTS AND FLOOR
Summary line
Bruised Posterior Face Fall CARTS AND FLOOR
Employee and industry
- Job description
- Courtesy Clerks
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 154
- Total hours worked
- 201109
- EIN
- 311569568
- Establishment ID
- 963645
- Employer case #
- 847335
When (timing detail)
- Date of incident
- Shift started
- 12:01:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 28FEB24:15:13:00
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.