SOUTH HOLLAND, IL ·
OSHA Injury Report: NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL
Injury · Other recordable case
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 other recordable case. Employee was store Director 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PRODUCT TRANSFER MATERIAL HANDLING
What happened
While He Was Bending Over To Pick Up A Container He Then Felt A Pull On His Lower Back With Some Tingling On His Legs
Injury or illness
Sprained Lower extremities Lifting Container
Object or substance involved
Container
Summary line
While He Was Bending Over To Pick Up A Container He Then Felt A Pull On His Lower Back With Some Tingling On His Legs
Employee and industry
- Job description
- Store Director
- 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 #
- 87896
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 14:15
- 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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