Ottawa, IL —
OSHA Injury Report: 021-00704
Injury · Other recordable case
At a glance
On , an injury at 021-00704 in Ottawa, IL 61350 resulted in other recordable case. Employee was fROZEN FOOD DEP in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00704
- Parent company
- Kroger Central KMA
- Street
- 2701 Columbus St
- City
- Ottawa
- State
- IL
- ZIP
- 61350
- On-site location
- GROCERY RECEIVING AT LOADING DOCK
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
UNLOADING A PALLET FROM TRUCK WITH POWER JACK
What happened
EE WAS TAKING A PALLET OFF THE TRUCK SHOELACE GOT STUCK ON THE TRUCK PALLET FELL AND LANDED ON HIS RIGHT BIG TOE
Injury or illness
Fracture Right Great toe Caught in machinery POWER JACK
Object or substance involved
POWER JACK
Summary line
Fracture Right Great toe Caught in machinery POWER JACK
Employee and industry
- Job description
- FROZEN FOOD DEP
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 66
- Total hours worked
- 92162
- EIN
- 311569568
- Establishment ID
- 963675
- Employer case #
- 860719
When (timing detail)
- Date of incident
- Shift started
- 7:30:00.000
- Time of incident
- 7:00:00.000
- 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.