Lilburn, GA —
OSHA Injury Report: 011-00394
Injury · Days away from work
At a glance
On , an injury at 011-00394 in 3050 Five Forks Trickum Rd SW, Lilburn, GA 30047 resulted in days away from work. Employee was dAIRY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 011-00394
- Parent company
- Kroger Atlanta KMA
- Street
- 3050 Five Forks Trickum Rd SW
- City
- Lilburn
- State
- GA
- ZIP
- 30047
- On-site location
- DAIRY COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
PULLING A PALLET
What happened
EE WAS PULLING A PALLET WITH MANUAL [REDACTED] AND [REDACTED] OVER HIS LEFT MIDDLE TOE CONTUSION TO LEFT MIDDLE TOE
Injury or illness
Bruised Left Toes Struck by hand tool PALLET JACK
Object or substance involved
PALLET JACK
Summary line
Bruised Left Toe Struck by hand tool PALLET JACK
Employee and industry
- Job description
- DAIRY CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 143
- Total hours worked
- 197153
- EIN
- 310345740
- Establishment ID
- 962941
- Employer case #
- 865601
When (timing detail)
- Date of incident
- Shift started
- 11:00:00.000
- Time of incident
- 17:30:00.000
- Submitted
- 27FEB24:20:23:00
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011-00394
Lilburn, GA—
011-00394
View 011-00394's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.