ROCKFORD, IL ·
OSHA Injury Report: "CHERRY VALLEY IL - 3042"
Injury · Other recordable case
At a glance
On , an injury at "CHERRY VALLEY IL - 3042" in "2001 S PERRYVILLE ROAD", ROCKFORD, IL 61112 resulted in other recordable case. Employee was department manager in "Home Centers".
Where did this happen?
- Establishment
- "CHERRY VALLEY IL - 3042"
- Parent company
- "Menards"
- Street
- "2001 S PERRYVILLE ROAD"
- City
- ROCKFORD
- State
- IL
- ZIP
- 61112
- On-site location
- "YARD"
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WORKING ON ORDER
What happened
HE SLIPPED ON SOME ICE AND FELL AND BUMPED HIS ELBOW SHOULDER AND TWISTED HIS NECK BACK AND PELVIS
Injury or illness
STRAIN LEFT SHOULDER - NECK - BACK CONTUSION LEFT ELBOW-BACK-PELVIS
Object or substance involved
ICE CEMENT GROUND
Summary line
MULTIPLE INJURIES MULTIPLE BODY PARTS SLIP-FALL-ICE
Employee and industry
- Job description
- DEPARTMENT MANAGER
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 444110: "Home Centers"
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 194
- Hours worked at this establishment (2025 total)
- 280,002
- EIN
- 390989248
- Establishment ID
- 1002034
- Employer case #
- 600018128
When (timing detail)
- Date of incident
- Shift started
- 04:58
- Time of incident
- 07:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-16
More injuries at "Cherry Valley IL - 3042"
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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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