Boulder, CO —
OSHA Injury Report: 620-00061
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00061 in 1650 30Th St, Boulder, CO 80301 resulted in job transfer or restriction. Employee was produce Asst D in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00061
- Parent company
- King Soopers
- Street
- 1650 30Th St
- City
- Boulder
- State
- CO
- ZIP
- 80301
- On-site location
- OUTSIDE BEHIND STORE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
TAKING OUT COMPOST
What happened
Claimant was taking out the compost when she slipped and fell on black ice injuring her right hand SHe also felt pain on her right side
Injury or illness
Sprained Right Hand Fall on ice orsnow ICEY GROUND
Object or substance involved
ICEY GROUND
Summary line
Sprained Right Hand Fall on ice or snow ICEY GROUND
Employee and industry
- Job description
- Produce Asst D
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 169
- Total hours worked
- 218919
- EIN
- 480196590
- Establishment ID
- 966524
- Employer case #
- 848659
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 20:30:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:21:04:00
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View 620-00061's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.