Pekin, IL —
OSHA Injury Report: 021-00923
Injury · Other recordable case
At a glance
On , an injury at 021-00923 in Pekin, IL 61554 resulted in other recordable case. Employee was sTORE PRICE INT 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
- CHECKLANES FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING TO PHONE
What happened
EE WAS GOING TO USE PHONE AT CHECKLANE [REDACTED] TRIPPED OVER BOX THAT WAS ON FLOOR LEFT UPPER ARM MIGHT BE BROKEN LEFT KNEE AS WELL
Injury or illness
Strained Left Upper arm Fall BOX ON FLOOR
Object or substance involved
BOX ON FLOOR
Summary line
Strained Left Upper arm Fall BOX ON FLOOR
Employee and industry
- Job description
- STORE PRICE INT
- SOC code
- 9999 — Uncoded
- 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 #
- 856608
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 13:15:00.000
- 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.