Lafayette, IN —
OSHA Injury Report: 021-00843
Injury · Days away from work
At a glance
On , an injury at 021-00843 in Lafayette, IN 47904 resulted in days away from work. Employee was grocery Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00843
- Parent company
- Kroger Central KMA
- Street
- 2200 Greenbush St
- City
- Lafayette
- State
- IN
- ZIP
- 47904
- On-site location
- DAIRY COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
WALKING AND TRIPPED
What happened
Grocery Clerk was in dairy cooler and walked over drain grate Great moved and caused him to slip and fall Concusion left elbow lumbar
Injury or illness
Concussion Anterior Skull Fall LOOSE METAL DRAIN GRATE
Object or substance involved
LOOSE METAL DRAIN GRATE
Summary line
Concussion Anterior Skull Fall LOOSE METAL DRAIN [REDACTED]
Employee and industry
- Job description
- Grocery Clerks
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 140
- Total hours worked
- 171449
- EIN
- 311569568
- Establishment ID
- 963690
- Employer case #
- 856324
When (timing detail)
- Date of incident
- Shift started
- 17:00:00.000
- Time of incident
- 19:00:00.000
- 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.