CHICAGO, IL ·
OSHA Injury Report: NAI-0032-0032-00901 FAC-00901-CHICAGO-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-00901 FAC-00901-CHICAGO-IL in 3400 WESTERN AVE, CHICAGO, IL 60618 resulted in days away from work. Employee was mtnc Food 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
- MAINTENANCE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 24
Before the incident
FLOOR MAINTENANCE
What happened
Maintenance clerk said he tripped over his shoe in the aisle
Injury or illness
Lacerated Anterior Face Fall Floor
Object or substance involved
Floor
Summary line
Maintenance clerk said he tripped over his shoe in the aisle
Employee and industry
- Job description
- Mtnc Food Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- 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 #
- 84040
When (timing detail)
- Date of incident
- Shift started
- 08:00
- 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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