SOUTH HOLLAND, IL ·
OSHA Injury Report: NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL in 763 E 162ND ST, SOUTH HOLLAND, IL 60476 resulted in days away from work. Employee was mgr Asst Dept in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 763 E 162ND ST
- City
- SOUTH HOLLAND
- State
- IL
- ZIP
- 60476
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 21
Before the incident
STOCKING
What happened
[REDACTED] Alleges Over The Course Of The [REDACTED] He Developed A Cyst On His R Knee
Injury or illness
Sprained Right Knee Lifting Product
Object or substance involved
Product
Summary line
[REDACTED] Alleges Over The Course Of The [REDACTED] He Developed A Cyst On His R Knee
Employee and industry
- Job description
- Mgr Asst Dept
- 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 (2025 average)
- 151
- Hours worked at this establishment (2025 total)
- 187,980
- EIN
- 361282500
- Establishment ID
- 1140653
- Employer case #
- 86140
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 17:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-21
More injuries at NAI-0032-0032-00063 Fac-00063-South Holland-Il
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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