CLARENDON HILLS, IL ·
OSHA Injury Report: NAI-0032-0032-03003 FAC-03003-CLARENDON HILLS-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-03003 FAC-03003-CLARENDON HILLS-IL in 303 HOLMES AVE, CLARENDON HILLS, IL 60514 resulted in other recordable case. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03003 FAC-03003-CLARENDON HILLS-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 303 HOLMES AVE
- City
- CLARENDON HILLS
- State
- IL
- ZIP
- 60514
- On-site location
- PRODUCE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING BY THE BAGGED SALAD SECTION OF THE PR
What happened
[REDACTED] was walking by the bagged salad section of the produce department and slipped on some water that was on the floor. She fell on her butt and knee
Injury or illness
Strained Posterior Back Fall FLOOR
Object or substance involved
FLOOR
Summary line
[REDACTED] was walking by the bagged salad section of the produce department and slipped on some water that was on the floor. She fell on her butt and knee
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)
- 134
- Hours worked at this establishment (2023 total)
- 172,103
- EIN
- 361282500
- Establishment ID
- 1140711
- Employer case #
- 79218
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 09:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
More injuries at NAI-0032-0032-03003 Fac-03003-Clarendon Hills-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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