Englewood, CO —
OSHA Injury Report: 620-00111
Injury · Job transfer or restriction
At a glance
On , an injury at 620-00111 in 3495 S University Blvd, Englewood, CO 80113 resulted in job transfer or restriction. Employee was office Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00111
- Parent company
- King Soopers
- Street
- 3495 S University Blvd
- City
- Englewood
- State
- CO
- ZIP
- 80113
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 155
Before the incident
WALKING TO CAR
What happened
Claimant states that she was walking out to her car after leaving and had slipped on some ice and landed on her left arm
Injury or illness
Strained Left Shoulders Fall on ice orsnow ICEY GROUND
Object or substance involved
ICEY GROUND
Summary line
Strained Left Shoulder Fall on ice or snow ICEY GROUND
Employee and industry
- Job description
- Office Clerks
- SOC code
- 43-9061 — Office Clerks, General
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 99
- Total hours worked
- 145278
- EIN
- 480196590
- Establishment ID
- 966568
- Employer case #
- 848751
When (timing detail)
- Date of incident
- Shift started
- 15:30:00.000
- Time of incident
- 21:15:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:21:04:00
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Englewood, CO—
620-00111
View 620-00111'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.