Pekin, IL —
OSHA Injury Report: 021-00923
Injury · Days away from work
At a glance
On , an injury at 021-00923 in Pekin, IL 61554 resulted in days away from work. Employee was gROCERY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00923
- Parent company
- Kroger Central KMA
- Street
- 1607 Broadway St
- City
- Pekin
- State
- IL
- ZIP
- 61554
- On-site location
- GROCERY AISLE FIVE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 45
Before the incident
SPOTTING COFFEE CASES
What happened
EE WAS SPOTTING COFFEE IN AISLE FIVE PICKING UP CASES AND A CASE FELL OFF THE PALLET EE TRIPPED OVER THE CASE OF PRODUCT AND FELL ON LEFT SHOULDER LEFT SHOULDER IS HURTING
Injury or illness
Bruised Left Shoulders Fall COFFEE CASE
Object or substance involved
COFFEE CASE
Summary line
Bruised Left Shoulder Fall COFFEE CASE
Employee and industry
- Job description
- GROCERY CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 125
- Total hours worked
- 182569
- EIN
- 311569568
- Establishment ID
- 963721
- Employer case #
- 849526
When (timing detail)
- Date of incident
- Shift started
- 23:00:00.000
- Time of incident
- 1:30:00.000
- 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.