SILVIS, IL —
OSHA Injury Report: NAI-0032-0032-03088 FAC-03088-SILVIS-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-03088 FAC-03088-SILVIS-IL in SILVIS, IL 61282 resulted in other recordable case. Employee was clerk Coffee Ba in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03088 FAC-03088-SILVIS-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 1312 JOHN DEERE EXPRESSWAY
- City
- SILVIS
- State
- IL
- ZIP
- 61282
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CLEANING CASE EQUIPMENT OR TOOLS
What happened
After Bending Over Cleaning The Floor Drains As She Got Backup She Hit The Back Of Her Head On The Blender Counter In The [REDACTED] Area Resulting In A Headache Minor Forgetfulness And Blurred Vision
Injury or illness
Bruised Anterior Skull Struck against Counter
Object or substance involved
Counter
Summary line
After Bending Over Cleaning The Floor Drains As She Got Backup She Hit The Back Of Her Head On The Blender Counter In The [REDACTED] Area Resulting In A Headache Minor Forgetfulness And Blurred Vision
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
- Avg employees
- 117
- Total hours worked
- 145481
- EIN
- 361282500
- Establishment ID
- 1140718
- Employer case #
- 85959
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 15:30
- Filing year
- 2024
- Submitted
- 24FEB2025:18:53:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.