Decatur, IN —
OSHA Injury Report: 021-00407
Injury · Days away from work
At a glance
On , an injury at 021-00407 in 929 S 13Th St, Decatur, IN 46733 resulted in days away from work. Employee was clicklist Clerk in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00407
- Parent company
- Kroger Central KMA
- Street
- 929 S 13Th St
- City
- Decatur
- State
- IN
- ZIP
- 46733
- On-site location
- SIDEWALK AT CLICKLIST ENTRANCE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 16
- Days restricted or transferred
- 164
Before the incident
PULLING [REDACTED] INTO CLICKLIST ENTRANCE
What happened
The employee was stung by a bee on her left hand and fell and hit her head on a flower display The employee than landed on her left shoulder and elbow Employee has a broken left elbow and broken left shoulder
Injury or illness
Fracture Left Upper arm Fall on same level GROUND AND FLORAL DISPLAY
Object or substance involved
GROUND AND FLORAL DISPLAY
Summary line
Fracture Left Upper arm Fall on same level GROUND AND FLORAL DISPLAY
Employee and industry
- Job description
- Clicklist Clerk
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 101
- Total hours worked
- 145112
- EIN
- 311569568
- Establishment ID
- 963661
- Employer case #
- 872269
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 10:00
- Filing year
- 2024
- Submitted
- 25FEB2025:19:46:00
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Decatur, IN—
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Decatur, IN—
021-00407
View 021-00407'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.