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 asstMgrHWH in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Moline 1 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 4218 Avenue of the Cities
- City
- Moline
- State
- IL
- ZIP
- 61265
- On-site location
- main backroom storage loft
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
was putting pushers back into storage
What happened
resulting in a laceration to the right side of his skull requiring 2 stitches
Injury or illness
INJURY TYPE: Laceration || BODY PARTS AFFECTED: Skull
Object or substance involved
ceiling rafter
Summary line
laceration to top right of skull from a contact with low ceiling
Employee and industry
- Job description
- AsstMgrHWH
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 210
- Total hours worked
- 254146
- EIN
- 420325638
- Establishment ID
- 1374972
- Employer case #
- 2025-6
When (timing detail)
- Date of incident
- Shift started
- 7:15
- Time of incident
- 12:15
- Filing year
- 2025
- Submitted
- 27FEB26:18:36:00
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.