Jefferson, GA —
OSHA Injury Report: 011-00638
Injury · Days away from work
At a glance
On , an injury at 011-00638 in 1685 Old Pendergrass Rd, Jefferson, GA 30549 resulted in days away from work. Employee was fRONT END COURT in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 011-00638
- Parent company
- Kroger Atlanta KMA
- Street
- 1685 Old Pendergrass Rd
- City
- Jefferson
- State
- GA
- ZIP
- 30549
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 49
Before the incident
[REDACTED] CARTS
What happened
EE PUSHING IN CARTS AND JUST FELL
Injury or illness
Strained Right Shoulders Fall FLOOR
Object or substance involved
FLOOR
Summary line
Strained Right Shoulder Fall FLOOR
Employee and industry
- Job description
- FRONT END COURT
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 227
- Total hours worked
- 268535
- EIN
- 310345740
- Establishment ID
- 963037
- Employer case #
- 865793
When (timing detail)
- Date of incident
- Shift started
- 11:00:00.000
- Time of incident
- 13:15:00.000
- Submitted
- 27FEB24:20:24:00
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View 011-00638'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.