Goshen, IN —
OSHA Injury Report: 021-00879
Injury · Days away from work
At a glance
On , an injury at 021-00879 in Goshen, IN 46526 resulted in days away from work. Employee was grocery Dept M in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00879
- Parent company
- Kroger Central KMA
- Street
- 209 Chicago Ave
- City
- Goshen
- State
- IN
- ZIP
- 46526
- On-site location
- BACK FREEZER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 12
- Days restricted or transferred
- 18
Before the incident
UNLOADING TRUCK WALKING
What happened
[REDACTED] was walking in back freezer while unloading truck and slipped on ice and fell to the ground Which resulted in [REDACTED] have back pain
Injury or illness
Strained Posterior Low back Fall on ice orsnow ICEY SLIPPERY FREEZER FLOOR
Object or substance involved
ICEY SLIPPERY FREEZER FLOOR
Summary line
Strained Posterior Low back Fall on ice or snow ICEY SLIPPERY FREEZER FLOOR
Employee and industry
- Job description
- Grocery Dept M
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 112
- Total hours worked
- 149826
- EIN
- 311569568
- Establishment ID
- 963699
- Employer case #
- 849613
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 9:00:00.000
- 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.