Macomb, IL ·
OSHA Injury Report: Macomb - Main Store
Injury · Other recordable case
At a glance
On , an injury at Macomb - Main Store in 1600 E Jackson St, Macomb, IL 61455 resulted in other recordable case. Employee was sushi Chef in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Macomb - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1600 E Jackson St
- City
- Macomb
- State
- IL
- ZIP
- 61455
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was walking.
What happened
Employee was walking to dish room lifter her leg to step over a hose and slipped hitting her hip.
Injury or illness
INJURY TYPE: Inflammation || BODY PART(S) AFFECTED: - Hip
Object or substance involved
Employee was not using any equipment material or chemicals.
Summary line
Low back and head contusion from slip and fall on wet floor.
Employee and industry
- Job description
- Sushi Chef
- SOC code
- 35-1011: Chefs and Head Cooks
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 174
- Hours worked at this establishment (2023 total)
- 204,830
- EIN
- 420325638
- Establishment ID
- 1028399
- Employer case #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 21:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Macomb - Main Store
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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