Moline, IL —
OSHA Injury Report: Moline 1 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Moline 1 - Main Store in Moline, IL 61265 resulted in other recordable case. Employee was produce Clerk 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
- Produce cooler
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
counting product for inventory
What happened
stepped backward and left foot tripped over a pallet on the floor causing her to fall - landed on her left hip left shoulder and especially left wrist
Injury or illness
INJURY TYPE: Sprain || BODY PART(S) AFFECTED: - Wrist
Object or substance involved
pallet on floor inside Produce cooler (actual cooler not trim room)
Summary line
sprain of left shoulder left hip and thigh contusion from trip and fall over pallet
Employee and industry
- Job description
- Produce Clerk
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- 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 #
- 2024-1
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 8:45
- 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.