Bolingbrook, IL —
OSHA Injury Report: Vistar Illinois - 1005
Injury · Job transfer or restriction
At a glance
On , an injury at Vistar Illinois - 1005 in 115 E Crossroads Pkwy Suite B, Bolingbrook, IL 60440 resulted in job transfer or restriction. Employee was forklift Operator Formula.
Where did this happen?
- Establishment
- Vistar Illinois - 1005
- Street
- 115 E Crossroads Pkwy Suite B
- City
- Bolingbrook
- State
- IL
- ZIP
- 60440
- On-site location
- Vistar Illinois 1005 Charging station area
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
Fall Slip Misc
What happened
[REDACTED] was starting to move his PMHE when it suddenly shut off and stop which made him fall off
Injury or illness
Cause Fall Slip or Trip Injury Body Part Skull Body Part Position Detail Cause Fall Slip Misc
Object or substance involved
PMHE Electric Pallet Jack
Summary line
Cause Fall Slip or Trip Injury Body Part Skull Body Part Position Detail Cause Fall Slip Misc
Employee and industry
- Job description
- Forklift Operator Formula
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 424410
- NAICS vintage
- 2022
- Avg employees
- 108
- Total hours worked
- 265224
- EIN
- 840629503
- Establishment ID
- 205880
- Employer case #
- 1201WC2303
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 12:10:00.000
- Submitted
- 06MAR24:20:43:00
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View Vistar Illinois - 1005'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.