Fort Wayne, IN —
OSHA Injury Report: 021-00410
Injury · Days away from work
At a glance
On , an injury at 021-00410 in Fort Wayne, IN 46809 resulted in days away from work. Employee was produce Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00410
- Parent company
- Kroger Central KMA
- Street
- 7008 Bluffton Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46809
- On-site location
- PRODUCE RECEIVING DEPT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
UNLOADING TRUCK
What happened
[REDACTED] was in receiving area near bread trays unloading truck As they were pulling pallet off truck a jar of tomato sauce fell off the pallet and broke Which caused [REDACTED] slipped on sauce from inside the jar and the [REDACTED] fell to the ground injuring lower b
Injury or illness
Strained Posterior Low back Fall SLIPPERY FLOOR
Object or substance involved
SLIPPERY FLOOR
Summary line
Strained Posterior Low back Fall SLIPPERY FLOOR
Employee and industry
- Job description
- Produce Clerks
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 105
- Total hours worked
- 132296
- EIN
- 311569568
- Establishment ID
- 963662
- Employer case #
- 853875
When (timing detail)
- Date of incident
- Shift started
- 17:00:00.000
- Time of incident
- 19:00:00.000
- 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.