Decatur, IL —
OSHA Injury Report: 021-00946
Injury · Other recordable case
At a glance
On , an injury at 021-00946 in Decatur, IL 62521 resulted in other recordable case. Employee was store Co Manage in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00946
- Parent company
- Kroger Central KMA
- Street
- 1818 Airport Plz
- City
- Decatur
- State
- IL
- ZIP
- 62521
- On-site location
- GROCERY BACKROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
MOVING CASES OF WATER OFF PALLET
What happened
EE was removing a shipper from a pallet of water EE fell back ward and cut his right hand or right thumb a cart Spouse had a deep cut that needed stitches No first aid besides wrapping a towel around his hand EE went on his own to [REDACTED] Marys Hospit
Injury or illness
Lacerated Right Thumb Fall on same level METAL CART
Object or substance involved
METAL CART
Summary line
Lacerated Right Thumb Fall on same level METAL CART
Employee and industry
- Job description
- Store Co Manage
- 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
- 134
- Total hours worked
- 183853
- EIN
- 311569568
- Establishment ID
- 963734
- Employer case #
- 856095
When (timing detail)
- Date of incident
- Shift started
- 12:01:00.000
- Time of incident
- 13:45:00.000
- 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.