MOLINE, IL ·
OSHA Injury Report: NAI-0032-0032-00122 FAC-00122-MOLINE-IL
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at NAI-0032-0032-00122 FAC-00122-MOLINE-IL in 2010 1ST STREET A, MOLINE, IL 61265 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00122 FAC-00122-MOLINE-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 2010 1ST STREET A
- City
- MOLINE
- State
- IL
- ZIP
- 61265
- 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
- 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 (2023 average)
- 159
- Hours worked at this establishment (2023 total)
- 201,157
- EIN
- 361282500
- Establishment ID
- 1140661
- Employer case #
- 75763
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 12:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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