COUNTRYSIDE, IL ·
OSHA Injury Report: NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL in 5545 BRAINARD AVE., COUNTRYSIDE, IL 60525 resulted in days away from work. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 5545 BRAINARD AVE.
- City
- COUNTRYSIDE
- State
- IL
- ZIP
- 60525
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 20
- Days restricted or transferred
- 40
Before the incident
CLEANING THE STAIRS
What happened
[REDACTED] was cleaning the stairs and hit he 's head on the guard rail.
Injury or illness
Concussion Anterior Head Strained STAIRS
Object or substance involved
STAIRS
Summary line
[REDACTED] was cleaning the stairs and hit he 's head on the guard rail.
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
- Employees at this establishment (2023 average)
- 170
- Hours worked at this establishment (2023 total)
- 231,885
- EIN
- 361282500
- Establishment ID
- 1140678
- Employer case #
- 77822
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 11:10
- 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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