SHOREWOOD, IL ·
OSHA Injury Report: NAI-0032-0032-03084 FAC-03084-SHOREWOOD-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-03084 FAC-03084-SHOREWOOD-IL in 199 BROOKFOREST AVE, SHOREWOOD, IL 60431 resulted in other recordable case. Employee was floral Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03084 FAC-03084-SHOREWOOD-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 199 BROOKFOREST AVE
- City
- SHOREWOOD
- State
- IL
- ZIP
- 60431
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
TRYING TO PULL METAL COVER WHEN IT POPPED OUT
What happened
[REDACTED] was changing the helium tanks trying to pull metal cover when it popped out and hit her on the mouth. Chipped her front tooth
Injury or illness
Fracture Teeth Struck against HELIUM COVER
Object or substance involved
HELIUM COVER
Summary line
[REDACTED] was changing the helium tanks trying to pull metal cover when it popped out and hit her on the mouth. Chipped her front tooth
Employee and industry
- Job description
- Floral Clerk
- SOC code
- 27-1023: Floral Designers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 210
- Hours worked at this establishment (2023 total)
- 236,871
- EIN
- 361282500
- Establishment ID
- 1140717
- Employer case #
- 78565
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 15:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
More injuries at NAI-0032-0032-03084 Fac-03084-Shorewood-Il
View NAI-0032-0032-03084 Fac-03084-Shorewood-Il's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in IL
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.