Peru, IL —
OSHA Injury Report: Peru - Main Store
Injury · Other recordable case
At a glance
On , an injury at Peru - Main Store in Peru, IL 61354 resulted in other recordable case. Employee was service Manager 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
- front end
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
The employee was walking by the H+ table and tripped on the tablecloth. Fell on her knees and hands. Injuring knees and lower back from falling
What happened
The employee was walking by the H+ table and tripped on the tablecloth. Fell on her knees and hands. Injuring knees and lower back from falling
Injury or illness
INJURY TYPE: Multiple Physical Injuries Only || BODY PART(S) AFFECTED: - Low Back Area (Lumbar & Lumbo-Sacral)
Object or substance involved
none
Summary line
Left hip sprain from trip and fall over tablecloth.
Employee and industry
- Job description
- Service Manager
- 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 #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 7:30:00.000
- Time of incident
- 14:30:00.000
- 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.