Goshen, IN —
OSHA Injury Report: 021-00879
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00879 in Goshen, IN 46526 resulted in job transfer or restriction. Employee was sTR MGMT ASST S 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
- PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
WALKING IN TO WORK
What happened
EE SLIPPED AND FELL ON ICE IN PARKING LOT AND HIT BACK OF HEAD PAIN IN NECK BACK AND RIGHT ANKLE
Injury or illness
Concussion Posterior Brain Fall on ice orsnow ICEY GROUND
Object or substance involved
ICEY GROUND
Summary line
Concussion Posterior Brain Fall on ice or snow ICEY GROUND
Employee and industry
- Job description
- STR MGMT ASST S
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- 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 #
- 848650
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 7:10:00.000
- 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.