Elkhart, IN —
OSHA Injury Report: 021-00886
Injury · Days away from work
At a glance
On , an injury at 021-00886 in 130 W Hively Ave, Elkhart, IN 46517 resulted in days away from work. Employee was gROCERY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00886
- Parent company
- Kroger Central KMA
- Street
- 130 W Hively Ave
- City
- Elkhart
- State
- IN
- ZIP
- 46517
- On-site location
- DAIRY COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 21
Before the incident
STEPPING OFF OF STEP STOOL
What happened
EE was in the dairy cooler and as they were stepping off of the step stool they rolled their Right Ankle on the floor drain and they fell to the ground Right Ankle Fracture
Injury or illness
Fracture Right Ankle Strained GROUND
Object or substance involved
GROUND
Summary line
Fracture Right Ankle Strained GROUND
Employee and industry
- Job description
- GROCERY CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 116
- Total hours worked
- 143032
- EIN
- 311569568
- Establishment ID
- 963700
- Employer case #
- 858794
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 10:50:00.000
- Submitted
- 28FEB24:15:14:00
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Elkhart, IN—
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Elkhart, IN—
021-00886
Elkhart, IN—
021-00886
View 021-00886'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.