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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Fort Wayne, IN —

OSHA Injury Report: 021-00410

Injury · Other recordable case

At a glance

On , an injury at 021-00410 in 7008 Bluffton Rd, Fort Wayne, IN 46809 resulted in other recordable case. Employee was sTORE NIGHT CLERK in supermarkets and Other Grocery Except Convenience Stores.

Where did this happen?

Establishment
021-00410
Parent company
Kroger Central KMA
Street
7008 Bluffton Rd
City
Fort Wayne
State
IN
ZIP
46809
On-site location
GROCERY FREEZER

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

PULLING PALLET

What happened

EE was moving pallet into freezer and he slipped on thin ice and fell EE sustained a laceration to left elbow and pain to head neck and shoulder

Injury or illness

Strained Left Elbow Fall on ice snow ICEY SLIPPERY FLOOR

Object or substance involved

ICEY SLIPPERY FLOOR

Summary line

Strained Left Elbow Fall on ice snow ICEY SLIPPERY FLOOR

Employee and industry

Job description
STORE NIGHT CLERK
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2012
Avg employees
107
Total hours worked
145634
EIN
311569568
Establishment ID
963662
Employer case #
872854

When (timing detail)

Date of incident
Shift started
22:30
Time of incident
2:00
Filing year
2024
Submitted
25FEB2025:19:46:00

More injuries at 021-00410

View 021-00410'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.