ROUND LAKE BEACH, IL —
OSHA Injury Report: NAI-0032-0032-03432 FAC-03432-ROUND LAKE BEACH-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-03432 FAC-03432-ROUND LAKE BEACH-IL in ROUND LAKE BEACH, IL 60073 resulted in days away from work. Employee was night Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03432 FAC-03432-ROUND LAKE BEACH-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 900 E ROLLINS ROAD
- City
- ROUND LAKE BEACH
- State
- IL
- ZIP
- 60073
- On-site location
- PRODUCE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
WALKING BACK TO PRODUCE
What happened
She Was Going Back To Check On Produce And Was Walking Fast When She Slipped On Something In The Produce Department And Fell Backwards Hitting Her L Elbow On The Ground And Also Injuring Her L Shoulder
Injury or illness
Bruised Left Elbow Fall Floor
Object or substance involved
Floor
Summary line
She Was Going Back To Check On Produce And Was Walking Fast When She Slipped On Something In The Produce Department And Fell Backwards Hitting Her L Elbow On The Ground And Also Injuring Her L Shoulder
Employee and industry
- Job description
- Night Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 145
- Total hours worked
- 181727
- EIN
- 361282500
- Establishment ID
- 1140775
- Employer case #
- 87726
When (timing detail)
- Date of incident
- Shift started
- 21:00
- Time of incident
- 22:30
- 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.