COUNTRYSIDE, IL ·
OSHA Injury Report: NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL in 5545 BRAINARD AVE., COUNTRYSIDE, IL 60525 resulted in other recordable case. Employee was deli Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 5545 BRAINARD AVE.
- City
- COUNTRYSIDE
- State
- IL
- ZIP
- 60525
- On-site location
- DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
LIFTING A BOX OF CHICKEN
What happened
lifting a box of chicken and it slipped and he tried to catch it and the weight of it pushed he s face forward and he pulled out a tooth left side third tooth from back bottom jaw in deli meat cooler
Injury or illness
Fracture Teeth Trip Box
Object or substance involved
Box
Summary line
lifting a box of chicken and it slipped and he tried to catch it and the weight of it pushed he s face forward and he pulled out a tooth left side third tooth from back bottom jaw in deli meat cooler
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
- Employees at this establishment (2024 average)
- 174
- Hours worked at this establishment (2024 total)
- 223,180
- EIN
- 361282500
- Establishment ID
- 1140678
- Employer case #
- 82042
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 15:30
- 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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