CHICAGO, IL ·
OSHA Injury Report: NAI-0032-0032-03407 FAC-03407-CHICAGO-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-03407 FAC-03407-CHICAGO-IL in 5516 NORTH CLARK STREET, CHICAGO, IL 60640 resulted in days away from work. Employee was asst Director in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03407 FAC-03407-CHICAGO-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 5516 NORTH CLARK STREET
- City
- CHICAGO
- State
- IL
- ZIP
- 60640
- On-site location
- BASEMENT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
HE TRIPPED ON A PALLET
What happened
Associate was counting inventory in the grocery basement backroom He tripped on a pallet from which he was counting he then fell to the ground landing on his right knee
Injury or illness
Sprained Right Knee Trip Pallet
Object or substance involved
Pallet
Summary line
Associate was counting inventory in the grocery basement backroom He tripped on a pallet from which he was counting he then fell to the ground landing on his right knee
Employee and industry
- Job description
- Asst Director
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 157
- Hours worked at this establishment (2024 total)
- 210,680
- EIN
- 361282500
- Establishment ID
- 1140767
- Employer case #
- 80973
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 07:00
- 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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