MERRIONETTE PARK, IL ·
OSHA Injury Report: NAI-0032-0032-02504 FAC-02504-MERRIONETTE PARK-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-02504 FAC-02504-MERRIONETTE PARK-IL in 3243 W 115TH ST, MERRIONETTE PARK, IL 60803 resulted in other recordable case. Employee was clerk Coffee Ba in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-02504 FAC-02504-MERRIONETTE PARK-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 3243 W 115TH ST
- City
- MERRIONETTE PARK
- State
- IL
- ZIP
- 60803
- On-site location
- COFFEE KIOSK
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WORKING BEHIND THE KIOSK
What happened
working behind the kiosk with coworker and both turned around at the same time and coworker hit her in the mouth with the espresso machine rack causing her front upper tooth to chip
Injury or illness
Fracture Teeth Struck against Espresso machine rack
Object or substance involved
Espresso machine rack
Summary line
working behind the kiosk with coworker and both turned around at the same time and coworker hit her in the mouth with the espresso machine rack causing her front upper tooth to chip
Employee and industry
- Job description
- Clerk Coffee Ba
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 175
- Hours worked at this establishment (2024 total)
- 239,791
- EIN
- 361282500
- Establishment ID
- 1140706
- Employer case #
- 82801
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 18:10
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-24
More injuries at NAI-0032-0032-02504 Fac-02504-Merrionette Park-Il
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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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