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 bEER AND WINE A 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
- NEXT TO THE DAIRY WALL
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
WORKING ON A PALLET
What happened
EE WAS WORKING OFF A PALLET AND EE STEPPED ONTO THE PALLET AND FORGOT THERE WAS PLASTIC WRAP ON THE PALLET EE LEFT FOOT GOT CAUGT IN THE PLASTIC WRAP AND EE FELL EE INJURED RIGHT GROIN AND HIP AREA
Injury or illness
Strained Right Abdomen Fall FLOOR
Object or substance involved
FLOOR
Summary line
Strained Right Abdomen Fall FLOOR
Employee and industry
- Job description
- BEER AND WINE A
- SOC code
- 9999 — Uncoded
- 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 #
- 865565
When (timing detail)
- Date of incident
- Shift started
- 9:30:00.000
- Time of incident
- 16:10:00.000
- 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.