Boulder, CO —
OSHA Injury Report: 620-00061
Injury · Other recordable case
At a glance
On , an injury at 620-00061 in Boulder, CO 80301 resulted in other recordable case. Employee was e COMMERCE CLER in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00061
- Parent company
- King Soopers
- Street
- 1650 30Th St
- City
- Boulder
- State
- CO
- ZIP
- 80301
- On-site location
- CLICKLIST PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
LOADING CUSTOMERS GROCERIES INTO TRUNK
What happened
Claimant was loading groceries into cms car and trunk fell on the top of his head causing a laceration
Injury or illness
Lacerated Posterior Face Struck by motor vehicle TRUNK OF VEHICLE
Object or substance involved
TRUNK OF VEHICLE
Summary line
Lacerated Posterior Face Struck by motor vehicle TRUNK OF VEHICLE
Employee and industry
- Job description
- e COMMERCE CLER
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 169
- Total hours worked
- 218919
- EIN
- 480196590
- Establishment ID
- 966524
- Employer case #
- 852213
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 19:20:00.000
- 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.