Peoria, IL ·
OSHA Injury Report: Peoria #1 - Main Store
Injury · Days away from work
At a glance
On , an injury at Peoria #1 - Main Store in 4125 N Sheridan Rd Unit20, Peoria, IL 61614 resulted in days away from work. Employee was winesprt Clerk 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
- Outside of the Wine Spirits entrance
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
- Days restricted or transferred
- 6
Before the incident
Walking from her car to the entrance of Wine and Spirits and tripped
What happened
Walking towards the entrance of Wine and Spirits- there is a spot there the concrete in broken raised fixed and she tripped. Went down extremely hard on the Left knee and right hand.
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: - Lower Leg
Object or substance involved
Outside concrete
Summary line
Left knee and right-hand contusions from trip and fall over broken concrete.
Employee and industry
- Job description
- Winesprt Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 217
- Hours worked at this establishment (2023 total)
- 280,924
- EIN
- 420325638
- Establishment ID
- 1028442
- Employer case #
- 2023-7
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 14:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Peoria #1 - 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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