GRAYSLAKE, IL —
OSHA Injury Report: NAI-0032-0032-03464 FAC-03464-GRAYSLAKE-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-03464 FAC-03464-GRAYSLAKE-IL in GRAYSLAKE, IL 60030 resulted in other recordable case. Employee was food Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03464 FAC-03464-GRAYSLAKE-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 885 EAST BELVIDERE ROAD
- City
- GRAYSLAKE
- State
- IL
- ZIP
- 60030
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
BUILDING DISPLAY
What happened
fell off step ladder onto hos right shoulder
Injury or illness
Sprained Right Shoulder s Fall from ladder scaffold Floor
Object or substance involved
Floor
Summary line
fell off step ladder onto hos right shoulder
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 190
- Total hours worked
- 266503
- EIN
- 361282500
- Establishment ID
- 1140788
- Employer case #
- 86209
When (timing detail)
- Date of incident
- Shift started
- 7:22
- Time of incident
- 11:00
- 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.