Moab, UT —
OSHA Injury Report: 620-00410
Injury · Days away from work
At a glance
On , an injury at 620-00410 in Moab, UT 84532 resulted in days away from work. Employee was sTORE NIGHT CLE in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00410
- Parent company
- King Soopers
- Street
- 425 S Main St
- City
- Moab
- State
- UT
- ZIP
- 84532
- On-site location
- GROCERY SALES FLOOR
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 12
- Days restricted or transferred
- 104
Before the incident
USING STEP LADDER TO FILL TOP STOCK
What happened
EE WAS ON LADDER STOCKING AND SLIPPED AND FELL OFF LADDER BACK LEFT FOREARM AND RIGHT ELBOW BRUISED
Injury or illness
Bruised Posterior Upper back Fall from different level FLOOR
Object or substance involved
FLOOR
Summary line
Bruised Posterior Upper back Fall from different level FLOOR
Employee and industry
- Job description
- STORE NIGHT CLE
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 145
- Total hours worked
- 209164
- EIN
- 480196590
- Establishment ID
- 966599
- Employer case #
- 862087
When (timing detail)
- Date of incident
- Shift started
- 1:00:00.000
- Time of incident
- 4:10:00.000
- Submitted
- 28FEB24:21:05:00
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.