Peoria, IL —
OSHA Injury Report: Peoria #1 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Peoria #1 - Main Store in Peoria, IL 61614 resulted in other recordable case. Employee was delivery Driver in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Peoria #1 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 4125 N Sheridan Rd Unit20
- City
- Peoria
- State
- IL
- ZIP
- 61614
- On-site location
- Behind the store in parking lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Loading a pallet jack into a vehicle
What happened
Loading a pallet jack into a vehicle and then handle fell back and cracked him in the right eye area.
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Facial Bones
Object or substance involved
Loading a pallet jack into a vehicle and then handle fell back and cracked him in the right eye area.
Summary line
Laceration to right eye area from struck by pallet jack handle.
Employee and industry
- Job description
- Delivery Driver
- SOC code
- 53-3033 — Light Truck Drivers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 217
- Total hours worked
- 280924
- EIN
- 420325638
- Establishment ID
- 1028442
- Employer case #
- 2023-4
When (timing detail)
- Date of incident
- Shift started
- 9:31:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 29FEB24:15:47:00
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.