South Bend, IN —
OSHA Injury Report: 021-00901
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at 021-00901 in South Bend, IN 46619 resulted in days away from work. Employee was fRONT END CASHIER 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
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Respiratory condition (code 3)
- Days away from work
- 5
Before the incident
Performing job duties
What happened
EE is alleging contracing COVID 19 while at work
Injury or illness
COVID 19 Lungs Pandemic COVID 19
Object or substance involved
Covid-19
Summary line
COVID 19 Lungs Pandemic COVID 19
Employee and industry
- Job description
- FRONT END CASHIER
- SOC code
- 41-2011 — Cashiers
- 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 #
- 24_211364
When (timing detail)
- Date of incident
- 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.