South Bend, IN —
OSHA Injury Report: 021-00901
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00901 in South Bend, IN 46619 resulted in job transfer or restriction. Employee was gROCERY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00901
- Parent company
- Kroger Central KMA
- Street
- 4526 W Western Ave
- City
- South Bend
- State
- IN
- ZIP
- 46619
- On-site location
- FRONT END WATER DISPLAY NEAR RESTROOMS
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
LIFTING CASE OF WATER
What happened
EE WAS LIFTING 40 CT OF WATER AND FELT SOMETHING POP IN LOWER BACK AS HE WAS TWISTING
Injury or illness
Strained Posterior Low back Lifting 40 COUNT CASE OF WATER
Object or substance involved
40 COUNT CASE OF WATER
Summary line
Strained Posterior Low back Lifting 40 COUNT CASE OF WATER
Employee and industry
- Job description
- GROCERY CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 64
- Total hours worked
- 99457
- EIN
- 311569568
- Establishment ID
- 963706
- Employer case #
- 851998
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 20:00:00.000
- 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.