East Peoria, IL —
OSHA Injury Report: Tractor Supply Company Store 0192
Injury · Other recordable case
At a glance
On , an injury at Tractor Supply Company Store 0192 in East Peoria, IL 61611 resulted in other recordable case. 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
- Store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking From The Sales Floor To The Feed Area
What happened
The Ee Was Walking From The Sales Floor To The Feed Area When He Tripped On A Pallet Jack And Fell. During The Fall He Struck His Head. The Ee Sustained Contusion And Inflammation To His Forehead.
Injury or illness
Multiple Physical Injuries Only-Head - NOC
Object or substance involved
Pallet Jack
Summary line
TM Slip - Trip - Fall Pallet Jack in the Store causing Multiple Physical Injuries Only of the Head - NOC
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 #
- 0041690771
When (timing detail)
- Date of incident
- Time of incident
- 15:30:00.000
- 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.