Fort Wayne, IN —
OSHA Injury Report: 021-00973
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00973 in 6002 Saint Joe Center Rd, Fort Wayne, IN 46835 resulted in job transfer or restriction. Employee was kITCHEN PLACE L in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00973
- Parent company
- Kroger Central KMA
- Street
- 6002 Saint Joe Center Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46835
- On-site location
- GROCERY BACKROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
PULLING STACKS OF DIAPERS
What happened
EE was in back room pulling stacks of diapers on the other side of the floor as he was sliding back he fell backwards and landed on his tail bone hitting a wood pallet with his head Another associate found him on the floor and they helped him up EE
Injury or illness
Bruised Posterior Trunk Fall WOODEN PALLET FLOOR
Object or substance involved
WOODEN PALLET FLOOR
Summary line
EE was in back room pulling stacks of diapers on the other side of the floor as he was sliding back
Employee and industry
- Job description
- KITCHEN PLACE L
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 246
- Total hours worked
- 332318
- EIN
- 311569568
- Establishment ID
- 963749
- Employer case #
- 885213
When (timing detail)
- Date of incident
- Shift started
- 11:30
- Time of incident
- 16:00
- Filing year
- 2025
- Submitted
- 17FEB26:14:55:00
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View 021-00973's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.