Peoria, IL —
OSHA Injury Report: 021-00917
Injury · Days away from work
At a glance
On , an injury at 021-00917 in 801 W Lake Ave, Peoria, IL 61614 resulted in days away from work. Employee was grocery Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00917
- Parent company
- Kroger Central KMA
- Street
- 801 W Lake Ave
- City
- Peoria
- State
- IL
- ZIP
- 61614
- On-site location
- GROCERY BACK HALLWAY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
Before the incident
COUNTING DONUTS
What happened
EE CLAIMS HE WAS COUNTING DONUTS IN BACK HALLWAY WHEN HE REACHED INTO BOX TO PULL TRAY OUT THE BOX POKED EE IN RIGHT EYE RESULTING IN PAIN BURNING AND REDNESS TO EYE
Injury or illness
Inflamed Right Eye Stuck against object handled CARDBOARD DONUT BOX
Object or substance involved
CARDBOARD DONUT BOX
Summary line
Inflamed Right Eye Stuck against object handled CARDBOARD DONUT BOX
Employee and industry
- Job description
- Grocery Clerks
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 95
- Total hours worked
- 139715
- EIN
- 311569568
- Establishment ID
- 963716
- Employer case #
- 852138
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 28FEB24:15:14:00
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View 021-00917's full OSHA safety record →
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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.