Columbia City, IN —
OSHA Injury Report: 021-00874
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00874 in Columbia City, IN 46725 resulted in job transfer or restriction. Employee was bAKERY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00874
- Parent company
- Kroger Central KMA
- Street
- 621 Country Side Dr
- City
- Columbia City
- State
- IN
- ZIP
- 46725
- On-site location
- BAKERY DEPT BACKROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
STEPPING UP ON PALLETS
What happened
EE SHE STEPPED UP ON TWO WOODEN PALLETS TO TURN ON THE LIGHTS AND WHEN SHE WAS STEPPING DOWN SHE MISSED HER FOOTING AND SHE FELL ON RIBS ON RIGHT SIDE
Injury or illness
Bruised Right Chest Fall FLOOR
Object or substance involved
FLOOR
Summary line
Bruised Right Chest Fall FLOOR
Employee and industry
- Job description
- BAKERY CLERK
- SOC code
- 51-3011 — Bakers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 133
- Total hours worked
- 171106
- EIN
- 311569568
- Establishment ID
- 963697
- Employer case #
- 859946
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- 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.