COUNTRYSIDE, IL ·
OSHA Injury Report: NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL in 5545 BRAINARD AVE., COUNTRYSIDE, IL 60525 resulted in other recordable case. Employee was deli 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
- FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
NORMAL JOB DUTIES
What happened
[REDACTED] went to grocery freezer and tried to open door. He hit hes face and chipped hes moler
Injury or illness
Injured Mouth Stuck against object handled DOOR
Object or substance involved
DOOR
Summary line
[REDACTED] went to grocery freezer and tried to open door. He hit hes face and chipped hes moler
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)
- 170
- Hours worked at this establishment (2023 total)
- 231,885
- EIN
- 361282500
- Establishment ID
- 1140678
- Employer case #
- 78931
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 13:00
- 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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