Moline, IL —
OSHA Injury Report: Moline 1 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Moline 1 - Main Store in Moline, IL 61265 resulted in job transfer or restriction. Employee was asst Mgr Hwh S in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Moline 1 - Main Store
- Parent company
- HYVEE INC
- Street
- 5956 Westown Parkway
- City
- Moline
- State
- IL
- ZIP
- 61265
- On-site location
- staircase
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
going down the stairs
What happened
his left ankle popped and rolled
Injury or illness
INJURY TYPE: Sprain || BODY PART(S) AFFECTED: - Ankle
Object or substance involved
main staircase black Brooks tennis shoes
Summary line
sprain to left ankle from rolling it on the stairs
Employee and industry
- Job description
- Asst Mgr Hwh S
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 208
- Total hours worked
- 243264
- EIN
- 420325638
- Establishment ID
- 1374972
- Employer case #
- 2024-9
When (timing detail)
- Date of incident
- Shift started
- 4:30
- Time of incident
- 6:30
- Filing year
- 2024
- Submitted
- 28FEB2025:20:13:00
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.