Peoria, IL —
OSHA Injury Report: 021-00917
Injury · Other recordable case
At a glance
On , an injury at 021-00917 in Peoria, IL 61614 resulted in other recordable case. Employee was fLORAL CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00917
- Parent company
- Kroger Central KMA
- Street
- 801 W Lake Ave
- City
- Peoria
- State
- IL
- ZIP
- 61614
- On-site location
- PRODUCE BACKROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
TRYING TO CATCH THE DOOR
What happened
THE EE TIRED TO CATCH THE DOOR BUT IT STRUCK HER LEFT FOOT AND HANDS EE HAS PAIN TO HERLEFT FOOT SHOULDER AND LEFT SIDE OF HER LOWER TO UPPER BACK
Injury or illness
Bruised Left Shoulder Struck by object SWINGING DOORS
Object or substance involved
SWINGING DOORS
Summary line
Bruised Left Shoulder Struck by object SWINGING DOORS
Employee and industry
- Job description
- FLORAL CLERK
- SOC code
- 27-1023 — Floral Designers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 98
- Total hours worked
- 145375
- EIN
- 311569568
- Establishment ID
- 963716
- Employer case #
- 881591
When (timing detail)
- Date of incident
- Shift started
- 9:30
- Time of incident
- 11:00
- Filing year
- 2024
- Submitted
- 25FEB2025:19:46:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.