Peoria, IL —
OSHA Injury Report: Peoria #2 - Main Store
Other illness · Other recordable case
At a glance
On , an other illness at Peoria #2 - Main Store in Peoria, IL 61615 resulted in other recordable case. Employee was delivery Driver in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Peoria #2 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 7610 N Orange Prairie Rd
- City
- Peoria
- State
- IL
- ZIP
- 61615
- On-site location
- Dunlap High School
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Other illness (code 6)
Before the incident
Employee was delivering flowers
What happened
Employee was attempting to pull flowers out of vehicle and hit his mouth on the vehicle door; The metal point part. of the vehicle door.
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Teeth
Object or substance involved
Motor Vehicle Flowers
Summary line
Front tooth was chipped from hitting the metal part of the door while pulling flowers out of car.
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
- 272
- Total hours worked
- 346473
- EIN
- 420325638
- Establishment ID
- 1028443
- Employer case #
- 2023-4
When (timing detail)
- Date of incident
- Shift started
- 8:57:00.000
- Time of incident
- 12:30:00.000
- 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.