Jefferson, GA —
OSHA Injury Report: 011-00638
Injury · Days away from work
At a glance
On , an injury at 011-00638 in 1685 Old Pendergrass Rd, Jefferson, GA 30549 resulted in days away from work. Employee was general Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 011-00638
- Parent company
- Kroger Atlanta KMA
- Street
- 1685 Old Pendergrass Rd
- City
- Jefferson
- State
- GA
- ZIP
- 30549
- 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
- 14
- Days restricted or transferred
- 17
Before the incident
LIFTING PALLET
What happened
The EE was lifting up a pallet when the pallet caught the corner of a box causing it to land on his right foot causing contusions redness and a knot has appeared
Injury or illness
Bruised Right Foot Struck by object WOODEN PALLET
Object or substance involved
WOODEN PALLET
Summary line
Bruised Right Foot Struck by object [REDACTED]
Employee and industry
- Job description
- General Clerks
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 227
- Total hours worked
- 289792
- EIN
- 310345740
- Establishment ID
- 963037
- Employer case #
- 868313
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 22:30
- Filing year
- 2024
- Submitted
- 25FEB2025:18:53:00
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View 011-00638's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.