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 seafood Dept M 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
- BACKHALL BY FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PICKING UP BANDS
What happened
EE STUMBLED AND TRIPPED ON BANDING ON PYTON EE INJURED KNEES RIGHT SIDE OF FACE RIGHT [REDACTED] AND RIGHT FOOT AND HAS BACK AND NECK PAIN
Injury or illness
Strained Right Neck Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Strained Right Neck Fall on same level FLOOR
Employee and industry
- Job description
- Seafood Dept M
- 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 #
- 851108
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:30:00.000
- 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.