Arvada, CO —
OSHA Injury Report: 620-00022
Injury · Other recordable case
At a glance
On , an injury at 620-00022 in Arvada, CO 80002 resulted in other recordable case. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00022
- Parent company
- King Soopers
- Street
- 9731 W 58Th Ave
- City
- Arvada
- State
- CO
- ZIP
- 80002
- On-site location
- DELI SERVICE COUNTER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
LIFTING BOX OF CHICKEN
What happened
EE was lifting box of drumstick from the bottom of the cart and as he was lifting he felt intense pain in his lower back and groin area
Injury or illness
Strained Left Abdomen Lifting BOX OF RAW CHICKEN
Object or substance involved
BOX OF RAW CHICKEN
Summary line
Strained Left Abdomen Lifting BOX OF RAW CHICKEN
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 101
- Total hours worked
- 154039
- EIN
- 480196590
- Establishment ID
- 966492
- Employer case #
- 864802
When (timing detail)
- Date of incident
- Shift started
- 9:30:00.000
- Time of incident
- 13:25:00.000
- 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.