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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Pekin Supportive Living

Injury · Other recordable case

On , an injury at Pekin Supportive Living in 1320 Executive Ct, Pekin, IL 61554 resulted in other recordable case. Employee was maintenance Director in assisted-living facilities without on-site nursing care facilities.

Parent company
John Evans SLC
Street
1320 Executive Ct
City
Pekin
State
IL
ZIP
61554
On-site location
facility grounds
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

unloading bags of rock

unloading bags of rock and strained shoulder

shoulder strain

heavy bag

shoulder strain

Job description
Maintenance Director
SOC code
37-1011 — First-Line Supervisors of Housekeeping and Janitorial Workers
NAICS code
623312 — Assisted-living facilities without on-site nursing care facilities
NAICS vintage
2022
Avg employees
40
Total hours worked
68749
EIN
203872291
Establishment ID
1092124
Employer case #
1
Date of incident
Shift started
6:30:00.000
Filing year
2023
Submitted
30JAN24:15:17:00

10121

WM 6504

WM 4878

WM 361

WM 201

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.