Denver, CO —
OSHA Injury Report: 620-00021
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00021 in Denver, CO 80246 resulted in job transfer or restriction. Employee was office Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00021
- Parent company
- King Soopers
- Street
- 825 S Colorado Blvd
- City
- Denver
- State
- CO
- ZIP
- 80246
- On-site location
- MENS RESTROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 119
Before the incident
USING STEP STOOL TO CHANGE TOWEL DISPENSER
What happened
EE was on a step stool changing a paper towel dispenser when the unit fell off the wall causing EE to lose his balance and fall EE sustained a possible strain to upper back and a possible contusion to left elbow causing inflammation
Injury or illness
Fracture Left Elbow Fall from ladder orscaffold FLOOR
Object or substance involved
FLOOR
Summary line
Fracture Left Elbow Fall from ladder or scaffold FLOOR
Employee and industry
- Job description
- Office Clerks
- SOC code
- 43-9061 — Office Clerks, General
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 82
- Total hours worked
- 122571
- EIN
- 480196590
- Establishment ID
- 966491
- Employer case #
- 854384
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 7:00:00.000
- Submitted
- 28FEB24:21:04:00
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.