Fort Wayne, IN —
OSHA Injury Report: 021-00425
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00425 in Fort Wayne, IN 46815 resulted in job transfer or restriction. Employee was dAIRY DEPT LEAD in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00425
- Parent company
- Kroger Central KMA
- Street
- 6310 E State Blvd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46815
- On-site location
- MEAT COOLER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 2
Before the incident
MOVING A PALLET
What happened
EE WAS REMOVING A PALLET FROM MEAT COOLER AND SLIPPED AND FELL ON THE FLOOR PAIN LOWER RIGHT BACK
Injury or illness
Strained Posterior Low back Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Strained Posterior Low back Fall on same level FLOOR
Employee and industry
- Job description
- DAIRY DEPT LEAD
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 138
- Total hours worked
- 167271
- EIN
- 311569568
- Establishment ID
- 963667
- Employer case #
- 859068
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 10:45:00.000
- 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.