Bloomington, IL —
OSHA Injury Report: 021-00943
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00943 in Bloomington, IL 61701 resulted in job transfer or restriction. Employee was grocery Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00943
- Parent company
- Kroger Central KMA
- Street
- 2507 E Oakland Ave
- City
- Bloomington
- State
- IL
- ZIP
- 61701
- On-site location
- GROCERY BACKROOM RECEIVING DOCK
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
USING PALLET JACK TO MOVE PALLETS
What happened
CM TRIPPED AND FELL OVER PALLET [REDACTED] HAS PAIN TO HIS LEFT SHOULDER
Injury or illness
Strained Left Shoulders Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Strained Left Shoulder Fall on same level FLOOR
Employee and industry
- Job description
- Grocery Clerks
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 71
- Total hours worked
- 99110
- EIN
- 311569568
- Establishment ID
- 963731
- Employer case #
- 852350
When (timing detail)
- Date of incident
- Shift started
- 12:01:00.000
- Time of incident
- 12:15:00.000
- 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.