East Peoria, IL —
OSHA Injury Report: 021-00705
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00705 in East Peoria, IL 61611 resulted in job transfer or restriction. Employee was store Co Manage 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
- GENERAL DEPARTMENT REP TRAUMA
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 36
Before the incident
LIFTING CASES OVER TIME
What happened
EE WAS GRABBING A CRATE AND TRIPPED ON THE PALLET AND FELL HURTING ELBOWS AND SHOULDERS
Injury or illness
Bruised Bilateral Shoulders Fall CASES OF PRODCT
Object or substance involved
CASES OF PRODCT
Summary line
Bruised Bilateral Shoulder Fall CASES OF PRODCT
Employee and industry
- Job description
- Store Co Manage
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales 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 #
- 863564
When (timing detail)
- Date of incident
- Shift started
- 12:30:00.000
- Time of incident
- 20:15:00.000
- 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.