Bloomington, IL —
OSHA Injury Report: Bloomington - Main Store
Injury · Other recordable case
At a glance
On , an injury at Bloomington - Main Store in Bloomington, IL 61704 resulted in other recordable case. Employee was human Resource Mgr in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Bloomington - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1403 N Veterans Parkway
- City
- Bloomington
- State
- IL
- ZIP
- 61704
- On-site location
- At Customer 's House
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was delivering flowers for [REDACTED].
What happened
While delivering flowers. Employee was bit by dog.
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: - Upper Arm (Clavicle and Scapula)
Object or substance involved
N A
Summary line
Left upper arm abrasion hematoma from dog bite while delivering flowers.
Employee and industry
- Job description
- Human Resource Mgr
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 353
- Total hours worked
- 373044
- EIN
- 420325638
- Establishment ID
- 1028227
- Employer case #
- 2023-7
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 11:00:00.000
- Submitted
- 29FEB24:15:45:00
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.