WAUKEGAN, IL ·
OSHA Injury Report: NAI-0032-0032-04516 FAC-04516-WAUKEGAN-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-04516 FAC-04516-WAUKEGAN-IL in 922 NORTH GREEN BAY ROAD, WAUKEGAN, IL 60085 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-04516 FAC-04516-WAUKEGAN-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 922 NORTH GREEN BAY ROAD
- City
- WAUKEGAN
- State
- IL
- ZIP
- 60085
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
NORMAL JOB DUTIES
What happened
He was at the self service register and lost his balance and fell twice once hitting his head on a rack by the register
Injury or illness
Injured Skull Fall on same level Floor
Object or substance involved
Floor
Summary line
He was at the self service register and lost his balance and fell twice once hitting his head on a rack by the register
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064: Packers and Packagers, Hand
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 144
- Hours worked at this establishment (2024 total)
- 202,709
- EIN
- 361282500
- Establishment ID
- 1140836
- Employer case #
- 84881
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 12:56
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-24
More injuries at NAI-0032-0032-04516 Fac-04516-Waukegan-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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