CRYSTAL LAKE, IL —
OSHA Injury Report: NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-IL in CRYSTAL LAKE, IL 60014 resulted in days away from work. Employee was night Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 6140 NORTHWEST HWY
- City
- CRYSTAL LAKE
- State
- IL
- ZIP
- 60014
- On-site location
- WAREHOUSE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
PALLET STACKING
What happened
[REDACTED] bent over to pickup a pallet and while standing up he hit the top of his head on the forklift. He has about a 2 inch cut on top of his head
Injury or illness
Lacerated Skull Hand tool FORKLIFT
Object or substance involved
FORKLIFT
Summary line
[REDACTED] bent over to pickup a pallet and while standing up he hit the top of his head on the forklift. He has about a 2 inch cut on top of his head
Employee and industry
- Job description
- Night Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 199
- Total hours worked
- 262742
- EIN
- 361282500
- Establishment ID
- 1140708
- Employer case #
- 79595
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 11:30:00.000
- 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.