Ottawa, IL —
OSHA Injury Report: 021-00704
Injury · Days away from work
At a glance
On , an injury at 021-00704 in Ottawa, IL 61350 resulted in days away from work. 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
- MAIN BACK FREEZER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
Before the incident
GETTING FOOD
What happened
EE WAS IN THE COOLER AND FELL ON SOME ICE AND HIT HIS LEGS AND FELL ON HIS LEFT SIDE
Injury or illness
Bruised Left Knee Fall on ice orsnow ICEY or SLIPPERY FLOOR
Object or substance involved
ICEY SLIPPERY FLOOR
Summary line
Bruised Left Knee Fall on ice or snow ICEY or SLIPPERY FLOOR
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 #
- 860720
When (timing detail)
- Date of incident
- Shift started
- 7:30:00.000
- Time of incident
- 7:30:00.000
- 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.