MOLINE, IL —
OSHA Injury Report: NAI-0032-0032-00122 FAC-00122-MOLINE-IL
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0032-0032-00122 FAC-00122-MOLINE-IL in MOLINE, IL 61265 resulted in job transfer or restriction. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00122 FAC-00122-MOLINE-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 2010 1ST STREET A
- City
- MOLINE
- State
- IL
- ZIP
- 61265
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 2
Before the incident
EE TRIPPED AND FELL OVER FORKS ON PALLET JACK
What happened
produce employee tripped and fell over forks on electric pallet jack
Injury or illness
Bruised Posterior Upper back Trip Floor
Object or substance involved
Floor
Summary line
produce employee tripped and fell over forks on electric pallet jack
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 143
- Total hours worked
- 192614
- EIN
- 361282500
- Establishment ID
- 1140661
- Employer case #
- 92548
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 9:58
- Filing year
- 2025
- Submitted
- 21FEB26:02:36:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.