Decatur, IL —
OSHA Injury Report: 021-00946
Injury · Days away from work
At a glance
On , an injury at 021-00946 in Decatur, IL 62521 resulted in days away from work. Employee was bakery Clerks 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
- BAKERY PREP ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
Before the incident
WALKING
What happened
EE was walking and her shoe string got caught on pan holder and she fell face down EE thought she a concussion and had a laceration by her left eye and had a contusion on her face and chin EE was taken to seek [REDACTED]
Injury or illness
Bruised Anterior Nose Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Bruised Anterior Nose Fall on same level FLOOR
Employee and industry
- Job description
- Bakery Clerks
- SOC code
- 51-3011 — Bakers
- 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 #
- 860272
When (timing detail)
- Date of incident
- Shift started
- 5:53:00.000
- Time of incident
- 7:45:00.000
- 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.