SOUTH HOLLAND, IL —
OSHA Injury Report: NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL in SOUTH HOLLAND, IL 60476 resulted in days away from work. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 763 E 162ND ST
- City
- SOUTH HOLLAND
- State
- IL
- ZIP
- 60476
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Respiratory condition (code 3)
- Days away from work
- 5
Before the incident
NORMAL JOB DUTIES
What happened
Tested Positive for COVID - 19
Injury or illness
COVID-19 Respiratory system Pandemic COVID 19
Object or substance involved
COVID 19
Summary line
Tested Positive for COVID - 19
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 158
- Total hours worked
- 183994
- EIN
- 361282500
- Establishment ID
- 1140653
- Employer case #
- 75087
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 21FEB24:00:06:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.