SPRINGFIELD, IL · 2023-04-03

OSHA Injury Report: "SPRINGFIELD NORTH IL - 3207"

Injury · Other recordable case

At a glance

On 2023-04-03, an injury at "SPRINGFIELD NORTH IL - 3207" in "2701 MARKETPLACE DRIVE", SPRINGFIELD, IL 62702 resulted in other recordable case. Employee was receiver in "Home Centers".

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Where did this happen?

Establishment: "SPRINGFIELD NORTH IL - 3207"
Parent company: "Menards"
Street: "2701 MARKETPLACE DRIVE"
City: SPRINGFIELD
State: IL
ZIP: 62702
On-site location: RECEIVING

What was the outcome?

Outcome: Other recordable case (code 4)
Type: Injury (code 1)

Before the incident

UNLOADING TRUCK

What happened

ANOTHER TEAM MEMBER PUT A FLAT CART BEHIND HIM AND HE FELL OVER IT AND BUMPED HIS SHOULDER WRIST BUTTOCKS AND TWISTED HIS NECK BACK AND ANKLE

Injury or illness

STRAIN RIGHT SHOULDER - RIGHT ANKLE - NECK - BACK CONTUSION BUTTOCKS

Object or substance involved

FLAT CART CEMENT FLOOR

Summary line

HE TRIPPED AND FELL BACKWARDS OVER A FLAT CART AND BUMPED HIS BUTTOCKS WRIST SHOULDER AND TWISTED HIS BACK ANKLE AND NECK

Employee and industry

Job description: RECEIVER
SOC code: 43-5071: Shipping, Receiving, and Inventory Clerks
NAICS code: 444110: "Home Centers"
NAICS vintage: 2022
Employees at this establishment (2023 average): 176
Hours worked at this establishment (2023 total): 245,572
EIN: 390989248
Establishment ID: 1002451
Employer case #: 6000146763

When (timing detail)

Date of incident: 2023-04-03
Shift started: 04:55
Time of incident: 13:10
Filing year: 2023
Submitted to OSHA: 2024-02-26

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.

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