Warsaw, IN —
OSHA Injury Report: 021-00837
Injury · Days away from work
At a glance
On , an injury at 021-00837 in Warsaw, IN 46580 resulted in days away from work. Employee was fUEL CENTER CLE in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00837
- Parent company
- Kroger Central KMA
- Street
- 2211 E Center St
- City
- Warsaw
- State
- IN
- ZIP
- 46580
- On-site location
- PRODUCE DEPARTMENT COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 29
- Days restricted or transferred
- 52
Before the incident
CARRYING A CASE OF BROCCOLI
What happened
EE claimed was carrying a case of broccoli when he fell on the corner of a pallet and hurt his right knee The floor was dry He has pain burning and swelling to the right knee He has received first aid from SR ice for his right knee
Injury or illness
Bruised Right Knee Fall PALLET
Object or substance involved
PALLET
Summary line
Bruised Right Knee Fall PALLET
Employee and industry
- Job description
- FUEL CENTER CLE
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 154
- Total hours worked
- 210934
- EIN
- 311569568
- Establishment ID
- 963687
- Employer case #
- 854961
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 6:15:00.000
- 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.