Quincy, IL —
OSHA Injury Report: Quincy #2 - Wine & Spirits
Injury · Other recordable case
At a glance
On , an injury at Quincy #2 - Wine & Spirits in 3700 Broadway St, Quincy, IL 62305 resulted in other recordable case. Employee was winsprt Asst Dept Mg in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Quincy #2 - Wine & Spirits
- Parent company
- HY-VEE, INC.
- Street
- 3700 Broadway St
- City
- Quincy
- State
- IL
- ZIP
- 62305
- On-site location
- Wine and Spirits
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
The employee tripped in front of the beverage cooler on a raised tile
What happened
She fell after tripping on a raised tile and fell forward landing on her right hand shoulder and twisting her left leg knee
Injury or illness
INJURY TYPE: No Physical Injury || BODY PART(S) AFFECTED: - Knee
Object or substance involved
none
Summary line
Right hand shoulder and left knee contusion from trip and fall over raised tile.
Employee and industry
- Job description
- Winsprt Asst Dept Mg
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 10
- Total hours worked
- 11878
- EIN
- 420325638
- Establishment ID
- 1028455
- Employer case #
- 2023-11
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 18:20:00.000
- Submitted
- 29FEB24:15:47:00
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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.