Bloomington, IN —
OSHA Injury Report: 021-00900
Injury · Days away from work
At a glance
On , an injury at 021-00900 in Bloomington, IN 47401 resulted in days away from work. Employee was pRODUCE CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00900
- Parent company
- Kroger Central KMA
- Street
- 4025 S Old State Road 37
- City
- Bloomington
- State
- IN
- ZIP
- 47401
- On-site location
- PRODUCE BACKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 101
- Days restricted or transferred
- 79
Before the incident
LIFTING PALLET
What happened
[REDACTED] was lifting a pallet and it fell on him hitting his head and neck and shoulder
Injury or illness
Sprained Posterior Skull Struck by object PALLET
Object or substance involved
PALLET
Summary line
Sprained Posterior Skull Struck by object PALLET
Employee and industry
- Job description
- PRODUCE CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 139
- Total hours worked
- 198701
- EIN
- 311569568
- Establishment ID
- 963705
- Employer case #
- 850150
When (timing detail)
- Date of incident
- Shift started
- 18:00:00.000
- Time of incident
- 20:30:00.000
- 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.