Broomfield, CO —
OSHA Injury Report: 620-00118
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00118 in Broomfield, CO 80023 resulted in job transfer or restriction. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00118
- Parent company
- King Soopers
- Street
- 2355 W 136Th Ave
- City
- Broomfield
- State
- CO
- ZIP
- 80023
- On-site location
- DELI DEPT- REPETITIVE TRAUMA
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 63
Before the incident
[REDACTED] JOB DUTIES
What happened
EE alleges that they suffered a right shoulder sprain during the course of their workday on [REDACTED] or [REDACTED] or [REDACTED] It is unknown what specific action caused the injury No first aid offered on scene [REDACTED] scheduled for [REDACTED] or [REDACTED] or [REDACTED]
Injury or illness
Strained Right Shoulders Strained SELF
Object or substance involved
SELF
Summary line
Strained Right Shoulder Strained SELF
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
- 182
- Total hours worked
- 242927
- EIN
- 480196590
- Establishment ID
- 966573
- Employer case #
- 865046
When (timing detail)
- Date of incident
- Shift started
- 13:02:00.000
- 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.