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 service Meat Cl 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
- MEAT PREP ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 85
Before the incident
UNLOADING PALLET
What happened
EE was unllading pallet tripped over the plastic wrap and fell broke knee cap
Injury or illness
Fracture Right Knee Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Fracture Right Knee Fall on same level FLOOR
Employee and industry
- Job description
- Service Meat Cl
- SOC code
- 9999 — Uncoded
- 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 #
- 857293
When (timing detail)
- Date of incident
- Shift started
- 2:00:00.000
- Time of incident
- 2:45:00.000
- 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.