Centennial, CO —
OSHA Injury Report: 620-00063
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00063 in 8200 S Holly St, Centennial, CO 80122 resulted in job transfer or restriction. Employee was general Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00063
- Parent company
- King Soopers
- Street
- 8200 S Holly St
- City
- Centennial
- State
- CO
- ZIP
- 80122
- On-site location
- IN DAIRY COOLER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 34
Before the incident
LIFTING CRATE OF MILK
What happened
General clerk was lifting a crate of milk in the dairy cooler and felt a pop and pain in left shoulder Crate had 4 one gallons of milk were in crate
Injury or illness
Strained Left Shoulders Lifting CRATE OF MILK
Object or substance involved
CRATE OF MILK
Summary line
Strained Left Shoulder Lifting CRATE OF MILK
Employee and industry
- Job description
- General Clerks
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 109
- Total hours worked
- 157734
- EIN
- 480196590
- Establishment ID
- 966526
- Employer case #
- 853448
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 9:00:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:21:04:00
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View 620-00063'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.