Peru, IL —
OSHA Injury Report: Peru - Main Store
Injury · Days away from work
At a glance
On , an injury at Peru - Main Store in Peru, IL 61354 resulted in days away from work. Employee was bakery Dept Mgr S in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Peru - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1651 Midtown Rd
- City
- Peru
- State
- IL
- ZIP
- 61354
- On-site location
- inside the building steps to second level
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 1
Before the incident
walking up the steps
What happened
walking up the steps and tripped.
Injury or illness
INJURY TYPE: Dislocation || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
Employee stairwell to upstairs office
Summary line
left shoulder dislocation from trip and fall up stairs.
Employee and industry
- Job description
- Bakery Dept Mgr S
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 337
- Total hours worked
- 395573
- EIN
- 420325638
- Establishment ID
- 1028445
- Employer case #
- 2023-16
When (timing detail)
- Date of incident
- Shift started
- 5:40:00.000
- Time of incident
- 23:05:00.000
- 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.