East Peoria, IL —
OSHA Injury Report: Tractor Supply Company Store 0192
Injury · Days away from work
At a glance
On , an injury at Tractor Supply Company Store 0192 in East Peoria, IL 61611 resulted in days away from work. Employee was team Member in general Merchandise Stores.
Where did this happen?
- Establishment
- Tractor Supply Company Store 0192
- Parent company
- Tractor Supply Company
- Street
- 900 S. Main St.
- City
- East Peoria
- State
- IL
- ZIP
- 61611
- On-site location
- Back Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Operating The Forklift
What happened
The Ee Was Operating The Forklift And Was Getting Off To Move An Obstacle. When Stepping Down The Ee Rolled Her Right Ankle And Fell Off The Forklift. The Ee Is Experiencing Pain In The Right Ankle And Sustained Contusions To The Left Wrist And Hand.
Injury or illness
Ankle right Fracture Sliptrip or fall-elevated surfaces Forklift accessory
Object or substance involved
Forklift
Summary line
TM Stepped Off Forklift in the Back Room causing Fracture of the Ankle
Employee and industry
- Job description
- Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 444240 — General Merchandise Stores
- NAICS vintage
- 2022
- Avg employees
- 19
- Total hours worked
- 19871
- EIN
- 133139732
- Establishment ID
- 891541
- Employer case #
- 0041690749
When (timing detail)
- Date of incident
- Time of incident
- 12:40:00.000
- Submitted
- 04MAR24:04:34:00
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.