Jacksonville, IL —
OSHA Injury Report: Jacksonville - Main Store
Injury · Other recordable case
At a glance
On , an injury at Jacksonville - Main Store in Jacksonville, IL 62650 resulted in other recordable case. Employee was produce Dept Mgr S in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Jacksonville - Main Store
- Parent company
- HYVEE INC
- Street
- 5883 Westown Parkway
- City
- Jacksonville
- State
- IL
- ZIP
- 62650
- On-site location
- Produce room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking through double doors to produce trim room
What happened
[REDACTED] walked through the doors to the produce trim room when the door opened it caught on a pallet that was behind the door and twisted his leg as he walked through the door.
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Low Back Area (Lumbar & Lumbo-Sacral)
Object or substance involved
Empty pallet double swinging door
Summary line
Low back right hip and right knee strains from tripping on a pallet walking through a doorway
Employee and industry
- Job description
- Produce Dept Mgr 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
- 91
- Total hours worked
- 125403
- EIN
- 420325638
- Establishment ID
- 1189336
- Employer case #
- 2024-1
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 12:00
- 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.