CHICAGO, IL ·
OSHA Injury Report: NAI-0032-0032-00901 FAC-00901-CHICAGO-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-00901 FAC-00901-CHICAGO-IL in 3400 WESTERN AVE, CHICAGO, IL 60618 resulted in other recordable case. Employee was bakery Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00901 FAC-00901-CHICAGO-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 3400 WESTERN AVE
- City
- CHICAGO
- State
- IL
- ZIP
- 60618
- On-site location
- FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CASE PREP SET UP BREAKDOWN
What happened
Employee says she fell from shards of ice being on the bakeshop freezer floor She hit her back on baking rack causing pain in her mid to lower back
Injury or illness
Injured Lower extremities Fall Floor
Object or substance involved
Floor
Summary line
Employee says she fell from shards of ice being on the bakeshop freezer floor She hit her back on baking rack causing pain in her mid to lower back
Employee and industry
- Job description
- Bakery Clerk
- SOC code
- 51-3011: Bakers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 104
- Hours worked at this establishment (2024 total)
- 159,263
- EIN
- 361282500
- Establishment ID
- 1140679
- Employer case #
- 83967
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 09:50
- 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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