Fort Wayne, IN —
OSHA Injury Report: 021-00424
Injury · Days away from work
At a glance
On , an injury at 021-00424 in Fort Wayne, IN 46814 resulted in days away from work. Employee was e COMMERCE DEPA in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00424
- Parent company
- Kroger Central KMA
- Street
- 10230 Chestnut Plaza Dr
- City
- Fort Wayne
- State
- IN
- ZIP
- 46814
- On-site location
- CLICKLIST PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
LOADING CUSTOMER GROCERIES PUTTING TRUNK DOWN
What happened
EE LOADED CM GROCERIES IN CAR HIT CLOSE BUTTON ON TRUCK AND THOUGHT IT WAS BROKEN CM STATED IT TAKES A WHILE EE STEPPED BACK AS TRUCK WAS CLOSING AND HIT HEAD DIZZINESS BUMPER ON BACK OF HEAD
Injury or illness
Bruised Anterior Face Struck by motor vehicle TRUNK DOOR OF CUSTOMER VEHICLE
Object or substance involved
TRUNK DOOR OF CUSTOMER VEHICLE
Summary line
Bruised Anterior Face Struck by motor vehicle TRUNK DOOR OF CUSTOMER VEHICLE
Employee and industry
- Job description
- e COMMERCE DEPA
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 158
- Total hours worked
- 182785
- EIN
- 311569568
- Establishment ID
- 963666
- Employer case #
- 849214
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 11:30:00.000
- Submitted
- 28FEB24:15:14:00
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.