CHICAGO, IL ·
OSHA Injury Report: NAI-0032-0032-00901 FAC-00901-CHICAGO-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-00901 FAC-00901-CHICAGO-IL in 3400 WESTERN AVE, CHICAGO, IL 60618 resulted in days away from work. Employee was liquor Manager in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-00901 FAC-00901-CHICAGO-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 3400 WESTERN AVE
- City
- CHICAGO
- State
- IL
- ZIP
- 60618
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
Before the incident
NORMAL JOB DUTIES
What happened
Trip and fall
Injury or illness
Bruised Right Knee Fall FLOOR
Object or substance involved
FLOOR
Summary line
Trip and fall
Employee and industry
- Job description
- Liquor Manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 99
- Hours worked at this establishment (2023 total)
- 154,091
- EIN
- 361282500
- Establishment ID
- 1140679
- Employer case #
- 78130
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 17:30
- 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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