East Peoria, IL —
OSHA Injury Report: 021-00705
Injury · Days away from work
At a glance
On , an injury at 021-00705 in East Peoria, IL 61611 resulted in days away from work. Employee was deli Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00705
- Parent company
- Kroger Central KMA
- Street
- 201 S Main St
- City
- East Peoria
- State
- IL
- ZIP
- 61611
- On-site location
- DELI DEPT NEAR OVEN
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 27
- Days restricted or transferred
- 30
Before the incident
PLACING RACK IN OVEN
What happened
EE WENT TO LIFT A RACK OF CHICKENS INT [REDACTED] AND HER SHOULDER POPPED DISLOCATED RT SHOULDER
Injury or illness
Rupture Right Shoulders Lifting RACK OF CHICKEN
Object or substance involved
RACK OF CHICKEN
Summary line
Rupture Right Shoulder Lifting RACK OF CHICKEN
Employee and industry
- Job description
- Deli Clerks
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 100
- Total hours worked
- 144932
- EIN
- 311569568
- Establishment ID
- 963676
- Employer case #
- 865262
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 17:00:00.000
- Submitted
- 28FEB24:15:14:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.