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 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
- Avg employees
- 217
- Total hours worked
- 280924
- EIN
- 420325638
- Establishment ID
- 1028442
- Employer case #
- 2023-3
When (timing detail)
- Date of incident
- Shift started
- 4:59:00.000
- Time of incident
- 7:15:00.000
- 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.