Decatur, IL —
OSHA Injury Report: 021-00922
Injury · Days away from work
At a glance
On , an injury at 021-00922 in 3070 N Water St, Decatur, IL 62526 resulted in days away from work. Employee was bAKERY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00922
- Parent company
- Kroger Central KMA
- Street
- 3070 N Water St
- City
- Decatur
- State
- IL
- ZIP
- 62526
- On-site location
- NEAR DAIRY AISLE 24
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
Before the incident
RETREIVING A CART
What happened
EE WAS WALKING THROUGH THE BACK OF THE STORE WHEN SHE SLIPPED ON WATER AND FELL TO THE GROUND STRAIN TO L SHOULDER
Injury or illness
Bruised Left Shoulder Fall from liquid grease wet slippery yfloor
Object or substance involved
wet slippery yfloor
Summary line
Bruised Left Shoulder Fall from liquid grease wet slippery yfloor
Employee and industry
- Job description
- BAKERY CLERK
- SOC code
- 51-3011 — Bakers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 103
- Total hours worked
- 154366
- EIN
- 311569568
- Establishment ID
- 963720
- Employer case #
- 873876
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 4:30
- Filing year
- 2024
- Submitted
- 25FEB2025:19:46:00
More injuries at 021-00922
View 021-00922'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.