COUNTRYSIDE, IL ·
OSHA Injury Report: NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL in 5545 BRAINARD AVE., COUNTRYSIDE, IL 60525 resulted in other recordable case. Employee was deli Manager 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
- DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STOCKING
What happened
EE was stack product onto U boat and a box fell on head
Injury or illness
Concussion Skull Struck by object Box
Object or substance involved
Box
Summary line
EE was stack product onto U boat and a box fell on head
Employee and industry
- Job description
- Deli Manager
- 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)
- 174
- Hours worked at this establishment (2025 total)
- 215,957
- EIN
- 361282500
- Establishment ID
- 1140678
- Employer case #
- 91596
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 13:00
- 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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