CRYSTAL LAKE, IL ·
OSHA Injury Report: NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-IL in 6140 NORTHWEST HWY, CRYSTAL LAKE, IL 60014 resulted in other recordable case. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 6140 NORTHWEST HWY
- City
- CRYSTAL LAKE
- State
- IL
- ZIP
- 60014
- On-site location
- DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
NORMAL JOB DUTIES
What happened
He Was Walking Into The Building There Were Rugs Bunched Up In The Entry Way He Tripped Over The Rugs He Fell Forward And Hit His Head On The Metal Door Causing Cut
Injury or illness
Bruised Face Trip Floor
Object or substance involved
Floor
Summary line
He Was Walking Into The Building There Were Rugs Bunched Up In The Entry Way He Tripped Over The Rugs He Fell Forward And Hit His Head On The Metal Door Causing Cut
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 205
- Hours worked at this establishment (2025 total)
- 261,938
- EIN
- 361282500
- Establishment ID
- 1140708
- Employer case #
- 88859
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 16:40
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-21
More injuries at NAI-0032-0032-02517 Fac-02517-Crystal Lake-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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