BLOOMINGTON, IL ·
OSHA Injury Report: 208-TIRE-STORE 208
Injury · Other recordable case
At a glance
On , an injury at 208-TIRE-STORE 208 in 104 KEATON PL, BLOOMINGTON, IL 60061 resulted in other recordable case. Employee was store manager in retail automotive, tires, accessories, AND sevices.
Where did this happen?
- Establishment
- 208-TIRE-STORE 208
- Parent company
- BELLE TIRE DISTRIBUTORS
- Street
- 104 KEATON PL
- City
- BLOOMINGTON
- State
- IL
- ZIP
- 60061
- On-site location
- SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stepping off alignment rack
What happened
while aligning a vehicle he stepped off the rack and the stool they use to step down slipped out from under him causing him to fall and strike his R shoulder on the ground
Injury or illness
contusion
Object or substance involved
slip trip fall
Summary line
while aligning a vehicle he stepped off the rack and the stool they use to step down slipped out from under him causing him to fall and strike his R shoulder on the ground
Employee and industry
- Job description
- Store manager
- SOC code
- 41-1012: First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 423130: RETAIL AUTOMOTIVE, TIRES, ACCESSORIES, AND SEVICES
- NAICS vintage
- 2017
- Employees at this establishment (2025 average)
- 12
- Hours worked at this establishment (2025 total)
- 9,630
- EIN
- 381909144
- Establishment ID
- 1287058
- Employer case #
- 27973063
When (timing detail)
- Date of incident
- Shift started
- 06:30
- Time of incident
- 17:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-13
More injuries at 208-Tire-Store 208
View 208-Tire-Store 208's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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