Boulder, CO —
OSHA Injury Report: 620-00033
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00033 in Boulder, CO 80305 resulted in job transfer or restriction. Employee was courtesy Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00033
- Parent company
- King Soopers
- Street
- 3600 Table Mesa Dr
- City
- Boulder
- State
- CO
- ZIP
- 80305
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
WALKING
What happened
EE SLIPPED AND FELL FROM ICE AND INJURED RT NECK AND SHOULDER
Injury or illness
Strained Right Neck Fall on ice orsnow ICEY GROUND
Object or substance involved
ICEY GROUND
Summary line
Strained Right Neck Fall on ice or snow ICEY GROUND
Employee and industry
- Job description
- Courtesy Clerks
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 159
- Total hours worked
- 206269
- EIN
- 480196590
- Establishment ID
- 966502
- Employer case #
- 851097
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 12:05:00.000
- 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.