BLOOMINGTON, IL ·
OSHA Injury Report: NAI-0032-0032-03775 FAC-03775-BLOOMINGTON-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-03775 FAC-03775-BLOOMINGTON-IL in 2103 NORTH VETERANS PARKWAY, BLOOMINGTON, IL 61704 resulted in days away from work. Employee was cashier Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03775 FAC-03775-BLOOMINGTON-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 2103 NORTH VETERANS PARKWAY
- City
- BLOOMINGTON
- State
- IL
- ZIP
- 61704
- On-site location
- BREAKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 99
Before the incident
NORMAL JOB DUTIES
What happened
EE clocked in at the breakroom and was on her way up to the frontend as she was walking up aisle 10 she fell
Injury or illness
Sprained Left Shoulder s Trip Floor
Object or substance involved
Floor
Summary line
EE clocked in at the breakroom and was on her way up to the frontend as she was walking up aisle 10 she fell
Employee and industry
- Job description
- Cashier Clerk
- SOC code
- 41-2011: Cashiers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 100
- Hours worked at this establishment (2024 total)
- 110,624
- EIN
- 361282500
- Establishment ID
- 1140821
- Employer case #
- 84433
When (timing detail)
- Date of incident
- Shift started
- 05:52
- Time of incident
- 05:55
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-24
More injuries at NAI-0032-0032-03775 Fac-03775-Bloomington-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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