BLOOMINGTON, IL —
OSHA Injury Report: NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL in BLOOMINGTON, IL 61701 resulted in days away from work. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 2203 EAST OAKLAND AVE
- City
- BLOOMINGTON
- State
- IL
- ZIP
- 61701
- On-site location
- COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
FOOD PRODUCT PREP
What happened
Employee walking back from cooler into prep room slipped and fell on some water that was on the floor
Injury or illness
Rupture Right Shoulder(s) Fall FLOOR
Object or substance involved
FLOOR
Summary line
Employee walking back from cooler into prep room slipped and fell on some water that was on the floor
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
- Avg employees
- 131
- Total hours worked
- 158834
- EIN
- 361282500
- Establishment ID
- 1140660
- Employer case #
- 75472
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 14:15:00.000
- 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.