BLOOMINGTON, IL —
OSHA Injury Report: NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL in BLOOMINGTON, IL 61701 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 2203 EAST OAKLAND AVE
- City
- BLOOMINGTON
- State
- IL
- ZIP
- 61701
- On-site location
- PREP ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 37
Before the incident
FOOD PRODUCT PREP
What happened
Employee states that he slipped in the chicken prep room and hurt his back
Injury or illness
Strained Posterior Back Fall Floor
Object or substance involved
Floor
Summary line
Employee states that he slipped in the chicken prep room and hurt his back
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 160
- Total hours worked
- 175126
- EIN
- 361282500
- Establishment ID
- 1140660
- Employer case #
- 86777
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 10:00
- Filing year
- 2025
- Submitted
- 21FEB26:02:36:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.