CHICAGO, IL ·
OSHA Injury Report: NAI-0032-0032-03455 FAC-03455-CHICAGO-IL
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0032-0032-03455 FAC-03455-CHICAGO-IL in 4355 NORTH SHERIDAN AVENUE, CHICAGO, IL 60613 resulted in job transfer or restriction. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03455 FAC-03455-CHICAGO-IL
- Parent company
- Jewel Food Stores Inc
- Street
- 4355 NORTH SHERIDAN AVENUE
- City
- CHICAGO
- State
- IL
- ZIP
- 60613
- On-site location
- DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 12
Before the incident
CASE PREP SET UP BREAKDOWN
What happened
EE hit his elbow while working in the deli
Injury or illness
Bursitis Right Elbow struck against stationary obje Bodily reaction
Object or substance involved
Bodily reaction
Summary line
EE hit his elbow while working in the deli
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 141
- Hours worked at this establishment (2025 total)
- 204,506
- EIN
- 361282500
- Establishment ID
- 1140784
- Employer case #
- 86038
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 06:15
- 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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