SOUTH HOLLAND, IL —
OSHA Injury Report: NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL in SOUTH HOLLAND, IL 60476 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 763 E 162ND ST
- City
- SOUTH HOLLAND
- State
- IL
- ZIP
- 60476
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 91
Before the incident
FOOD PRODUCT PREP
What happened
WAS CARRYING 2 CEASER SALAD BOXES AND SLIPPED ON KITCHEN FLOOR BECAUSE IT WAS WET
Injury or illness
Bursitis Right Shoulder s Fall from liquid grease Boxes
Object or substance involved
Boxes
Summary line
WAS CARRYING 2 CEASER SALAD BOXES AND SLIPPED ON KITCHEN FLOOR BECAUSE IT WAS WET
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 154
- Total hours worked
- 187033
- EIN
- 361282500
- Establishment ID
- 1140653
- Employer case #
- 84521
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 11:55
- Filing year
- 2024
- Submitted
- 24FEB2025:18:53:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.