Fort Wayne, IN —
OSHA Injury Report: 021-00410
Injury · Days away from work
At a glance
On , an injury at 021-00410 in 7008 Bluffton Rd, Fort Wayne, IN 46809 resulted in days away from work. Employee was produce Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00410
- Parent company
- Kroger Central KMA
- Street
- 7008 Bluffton Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46809
- On-site location
- PRODUCE RECEIVING DEPT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
UNLOADING TRUCK
What happened
[REDACTED] was in receiving area near bread trays unloading truck As they were pulling pallet off truck a jar of tomato sauce fell off the pallet and broke Which caused [REDACTED] slipped on sauce from inside the jar and the [REDACTED] fell to the ground injuring lower b
Injury or illness
Strained Posterior Low back Fall SLIPPERY FLOOR
Object or substance involved
SLIPPERY FLOOR
Summary line
Strained Posterior Low back Fall SLIPPERY FLOOR
Employee and industry
- Job description
- Produce Clerks
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 105
- Total hours worked
- 132296
- EIN
- 311569568
- Establishment ID
- 963662
- Employer case #
- 853875
When (timing detail)
- Date of incident
- Shift started
- 17:00:00.000
- Time of incident
- 19:00:00.000
- Submitted
- 28FEB24:15:13:00
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View 021-00410'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.