Englewood, CO —
OSHA Injury Report: 620-00109
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00109 in Englewood, CO 80110 resulted in job transfer or restriction. Employee was courtesy Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00109
- Parent company
- King Soopers
- Street
- 5050 S Federal Blvd
- City
- Englewood
- State
- CO
- ZIP
- 80110
- On-site location
- SOUTHSIDE PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 172
Before the incident
COLLECTING CARTS
What happened
EE was out in the parking lot gathering carts when he tied himself into the cart strap EE seems to have lost balance and fell back and hit the back of his head and both elbows on the pavement [REDACTED] believes EE just lost his balance EE took himse
Injury or illness
Bruised Posterior Face Fall PAVEMENT
Object or substance involved
PAVEMENT
Summary line
Bruised Posterior Face Fall PAVEMENT
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
- 173
- Total hours worked
- 258952
- EIN
- 480196590
- Establishment ID
- 966566
- Employer case #
- 859117
When (timing detail)
- Date of incident
- Shift started
- 15:30:00.000
- Time of incident
- 18:00:00.000
- 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.