Fort Wayne, IN —
OSHA Injury Report: 021-00412
Injury · Other recordable case
At a glance
On , an injury at 021-00412 in 1125 W State Blvd, Fort Wayne, IN 46808 resulted in other recordable case. Employee was fRONT END COURT in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00412
- Parent company
- Kroger Central KMA
- Street
- 1125 W State Blvd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46808
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
COLLECTING CARTS
What happened
EE TRIPPED OVER SHOPPING CART BRACKET WHILE COLLECTING CARTS AND FELL TO THE GROUND HITTING L KNEE CONTUSION TO L KNEE
Injury or illness
Bruised Left Knee Fall on same level CART BRACKET
Object or substance involved
CART BRACKET
Summary line
Bruised Left Knee Fall on same level CART BRACKET
Employee and industry
- Job description
- FRONT END COURT
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 109
- Total hours worked
- 155583
- EIN
- 311569568
- Establishment ID
- 963663
- Employer case #
- 877353
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 19:30
- Filing year
- 2024
- Submitted
- 25FEB2025:19:46:00
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View 021-00412'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.