COUNTRYSIDE, IL ·
OSHA Injury Report: NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL in 5545 BRAINARD AVE., COUNTRYSIDE, IL 60525 resulted in days away from work. Employee was meat Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 5545 BRAINARD AVE.
- City
- COUNTRYSIDE
- State
- IL
- ZIP
- 60525
- On-site location
- FREEZER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 18
- Days restricted or transferred
- 73
Before the incident
GETTING PRODUCT OUT OF THE FREEZER WHEN HE S
What happened
EE was getting product out of the freezer when he slipped and fell on his right side hurting his right wrist and thigh
Injury or illness
Rupture Right Shoulder s Fall Ground
Object or substance involved
Ground
Summary line
EE was getting product out of the freezer when he slipped and fell on his right side hurting his right wrist and thigh
Employee and industry
- Job description
- Meat Clerk
- SOC code
- 35-2021: Food Preparation Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 174
- Hours worked at this establishment (2025 total)
- 215,957
- EIN
- 361282500
- Establishment ID
- 1140678
- Employer case #
- 89600
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 11:15
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-21
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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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