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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Bourbonnais, IL —

OSHA Injury Report: 021-00984

Injury · Job transfer or restriction

At a glance

On , an injury at 021-00984 in 633 Armour Rd, Bourbonnais, IL 60914 resulted in job transfer or restriction. Employee was gROCERY CLERK in supermarkets and Other Grocery Except Convenience Stores.

Where did this happen?

Establishment
021-00984
Parent company
Kroger Central KMA
Street
633 Armour Rd
City
Bourbonnais
State
IL
ZIP
60914
On-site location
GROCERY SALES FLOOR AT BREAD AISLE

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
10

Before the incident

MOVING BREAD CRATES

What happened

EE was using a dolly to lift the trays of bread to take them to the back room When he took the doly back he don 't know if he lost his balance but his foot got caught in the dolly The EE fell to the floor and hit lower back His It is UNK which foot

Injury or illness

Bruised Posterior Low back Fall on same level FLOOR

Object or substance involved

FLOOR

Summary line

Bruised Posterior Low back Fall on same level 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
124
Total hours worked
192253
EIN
311569568
Establishment ID
963756
Employer case #
868232

When (timing detail)

Date of incident
Shift started
5:00
Time of incident
12:30
Filing year
2024
Submitted
25FEB2025:19:46:00

More injuries at 021-00984

View 021-00984'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.