Broomfield, CO —
OSHA Injury Report: 620-00118
Injury · Days away from work
At a glance
On , an injury at 620-00118 in 2355 W 136Th Ave, Broomfield, CO 80023 resulted in days away from work. Employee was mEAT CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 620-00118
- Parent company
- King Soopers
- Street
- 2355 W 136Th Ave
- City
- Broomfield
- State
- CO
- ZIP
- 80023
- On-site location
- BACKROOM NEAR DOORS
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
UNLOADING TRUCK
What happened
EE dodged pallet jacks could come through and backed up through door and hit box and EE fell to his right EE fell on trash can and sustained abrasion to right back of elbow area After the incident right arm felt fine started feeling stiffness and
Injury or illness
Strained Right Elbow Fall on same level FLOOR or TRASH CAN
Object or substance involved
FLOOR TRASH CAN
Summary line
Strained Right Elbow Fall on same level FLOOR or TRASH CAN
Employee and industry
- Job description
- MEAT CLERK
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 182
- Total hours worked
- 242927
- EIN
- 480196590
- Establishment ID
- 966573
- Employer case #
- 858332
When (timing detail)
- Date of incident
- Shift started
- 12:30:00.000
- Time of incident
- 19:30:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:21:04:00
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View 620-00118'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.