MOLINE, IL ·
OSHA Injury Report: NAI-0032-0032-00122 FAC-00122-MOLINE-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-00122 FAC-00122-MOLINE-IL in 2010 1ST STREET A, MOLINE, IL 61265 resulted in other recordable case. Employee was meat Wrapper in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00122 FAC-00122-MOLINE-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 2010 1ST STREET A
- City
- MOLINE
- State
- IL
- ZIP
- 61265
- On-site location
- MEAT DEPT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STOCKING
What happened
Employee fell forward on the floor while walking She put out her arms and fell more onto her right arm and right knee Now her right shoulder is bothering her from the fall
Injury or illness
Sprained Right Shoulder s Fall on same level Floor
Object or substance involved
Floor
Summary line
Employee fell forward on the floor while walking She put out her arms and fell more onto her right arm and right knee Now her right shoulder is bothering her from the fall
Employee and industry
- Job description
- Meat Wrapper
- SOC code
- 53-7064: Packers and Packagers, Hand
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 152
- Hours worked at this establishment (2024 total)
- 195,049
- EIN
- 361282500
- Establishment ID
- 1140661
- Employer case #
- 84752
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 11:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-24
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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