MERRIONETTE PARK, IL ·
OSHA Injury Report: NAI-0032-0032-02504 FAC-02504-MERRIONETTE PARK-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-02504 FAC-02504-MERRIONETTE PARK-IL in 3243 W 115TH ST, MERRIONETTE PARK, IL 60803 resulted in other recordable case. Employee was coffee Bar Mana in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-02504 FAC-02504-MERRIONETTE PARK-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 3243 W 115TH ST
- City
- MERRIONETTE PARK
- State
- IL
- ZIP
- 60803
- On-site location
- COFFEE BAR
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE WENT TO GO PUT THE BUCKET OF ICE INTO THE
What happened
EE went to go put the bucket of ice into the ice bin and felt a twist in her back
Injury or illness
Strained Upper back Lifting Bucket
Object or substance involved
Bucket
Summary line
EE went to go put the bucket of ice into the ice bin and felt a twist in her back
Employee and industry
- Job description
- Coffee Bar Mana
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 184
- Hours worked at this establishment (2025 total)
- 241,897
- EIN
- 361282500
- Establishment ID
- 1140706
- Employer case #
- 86998
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 10:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-21
More injuries at NAI-0032-0032-02504 Fac-02504-Merrionette Park-Il
View NAI-0032-0032-02504 Fac-02504-Merrionette Park-Il's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in IL
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.