FOX LAKE, IL —
OSHA Injury Report: NAI-0032-0032-03453 FAC-03453-FOX LAKE-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-03453 FAC-03453-FOX LAKE-IL in FOX LAKE, IL 60020 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03453 FAC-03453-FOX LAKE-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 1350 US ROUTE 12
- City
- FOX LAKE
- State
- IL
- ZIP
- 60020
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 54
- Days restricted or transferred
- 64
Before the incident
CASE PREP SET UP BREAKDOWN
What happened
She Was Walking Through The Meat Department And Slipped On Ice On The Floor Injuring Both Knees Both Hands And Her Lower Back
Injury or illness
Rupture Left Shoulder s Fall Floor
Object or substance involved
Floor
Summary line
She Was Walking Through The Meat Department And Slipped On Ice On The Floor Injuring Both Knees Both Hands And Her Lower Back
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 155
- Total hours worked
- 211780
- EIN
- 361282500
- Establishment ID
- 1140782
- Employer case #
- 83097
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 9:35
- 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.