Peoria, IL —
OSHA Injury Report: 021-00918
Injury · Other recordable case
At a glance
On , an injury at 021-00918 in Peoria, IL 61615 resulted in other recordable case. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00918
- Parent company
- Kroger Central KMA
- Street
- 9219 N Lindbergh Dr
- City
- Peoria
- State
- IL
- ZIP
- 61615
- On-site location
- DELI COOLER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
ON STEP STOOL REACHING FOR A BOX
What happened
EE WAS ON STEP STOOL INSIDE DELI COOLER REACHING FOR A BOX UNSPECIFIED FOOT GOT STUCK INSIDE OF STEP STOOL AND FELL DOWN NO INJURIES REPORTED
Injury or illness
Bruised Right Hip Fall from different level FLOOR
Object or substance involved
FLOOR
Summary line
Bruised Right Hip Fall from different level FLOOR
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 143
- Total hours worked
- 202847
- EIN
- 311569568
- Establishment ID
- 963717
- Employer case #
- 879334
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 5:10
- 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.