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 4125 N Sheridan Rd Unit20, Peoria, IL 61614 resulted in other recordable case. Employee was cstore 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
- Inside the Fast and Fresh
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
cutting open a box of miracle whip
What happened
cutting open a box knife got caught and tugged to hard
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Lower Arm
Object or substance involved
box box cutter
Summary line
Laceration left forearm from cutting open box with knife.
Employee and industry
- Job description
- Cstore 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 #
- 2023-3
When (timing detail)
- Date of incident
- Shift started
- 04:59
- Time of incident
- 07:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Peoria #1 - Main Store
View Peoria #1 - Main Store's full OSHA safety record →
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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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