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 6140 NORTHWEST HWY, CRYSTAL LAKE, IL 60014 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-02517 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
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 8
Before the incident
FOOD PRODUCT PREP
What happened
Employee was walking behind the [REDACTED]. There was a puddle of water. He slipped on the water and fell. stopping himself with his right arm.
Injury or illness
Bruised Right Shoulder(s) Fall FLOOR
Object or substance involved
FLOOR
Summary line
Employee was walking behind the [REDACTED]. There was a puddle of water. He slipped on the water and fell. stopping himself with his right arm.
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)
- 199
- Hours worked at this establishment (2023 total)
- 262,742
- EIN
- 361282500
- Establishment ID
- 1140708
- Employer case #
- 79834
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 15:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
More injuries at NAI-0032-0032-02517 Fac-02517-Crystal Lake-Il
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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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