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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Columbia City, IN —

OSHA Injury Report: 021-00874

Injury · Job transfer or restriction

At a glance

On , an injury at 021-00874 in 621 Country Side Dr, Columbia City, IN 46725 resulted in job transfer or restriction. Employee was bAKERY CLERK in supermarkets and Other Grocery Except Convenience Stores.

Where did this happen?

Establishment
021-00874
Parent company
Kroger Central KMA
Street
621 Country Side Dr
City
Columbia City
State
IN
ZIP
46725
On-site location
BAKERY DEPT BACKROOM

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
21

Before the incident

STEPPING UP ON PALLETS

What happened

EE SHE STEPPED UP ON TWO WOODEN PALLETS TO TURN ON THE LIGHTS AND WHEN SHE WAS STEPPING DOWN SHE MISSED HER FOOTING AND SHE FELL ON RIBS ON RIGHT SIDE

Injury or illness

Bruised Right Chest Fall FLOOR

Object or substance involved

FLOOR

Summary line

Bruised Right Chest Fall FLOOR

Employee and industry

Job description
BAKERY CLERK
SOC code
51-3011 — Bakers
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2022
Avg employees
133
Total hours worked
171106
EIN
311569568
Establishment ID
963697
Employer case #
859946

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
6:15:00.000
Submitted
28FEB24:15:14:00

More injuries at 021-00874

View 021-00874'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.