Fort Wayne, IN —
OSHA Injury Report: 021-00412
Injury · Days away from work
At a glance
On , an injury at 021-00412 in 1125 W State Blvd, Fort Wayne, IN 46808 resulted in days away from work. Employee was gROCERY CLERK 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
- DAIRY COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 45
Before the incident
OFFLOADING MILK CRATES FROM PALLET
What happened
EE WAS WORKING IN MILK COOLER OFFLOADING CRATES OFF PALLET EE 'S LEFT LEG SLIPPED TRIED TO CATCH HIMSELF LEG SLID AND BUCKLED BEHIND HIM RESULTING IN PAIN FROM CALF TO FOOT BURNING SENSATION HURTS TO WALK
Injury or illness
Strained Left Lower leg Fall from liquid grease SLIPPERY FLOOR
Object or substance involved
SLIPPERY FLOOR
Summary line
Strained Left Lower leg Fall from liquid grease SLIPPERY FLOOR
Employee and industry
- Job description
- GROCERY CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- 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 #
- 883762
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 12:08
- 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.