SHOREWOOD, IL ·
OSHA Injury Report: NAI-0032-0032-03084 FAC-03084-SHOREWOOD-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-03084 FAC-03084-SHOREWOOD-IL in 199 BROOKFOREST AVE, SHOREWOOD, IL 60431 resulted in days away from work. Employee was mgr Asst Dept 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
STOCKING WHILE STANDING ON A BOX
What happened
standing on box - misjudge step and fell on left side hip. Liquor box - trying to reach an empty 2x2 board
Injury or illness
Fracture Left Hip Fall from different level FLOOR
Object or substance involved
FLOOR
Summary line
standing on box - misjudge step and fell on left side hip. Liquor box - trying to reach an empty 2x2 board
Employee and industry
- Job description
- Mgr Asst Dept
- 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)
- 210
- Hours worked at this establishment (2023 total)
- 236,871
- EIN
- 361282500
- Establishment ID
- 1140717
- Employer case #
- 80477
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 20:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
More injuries at NAI-0032-0032-03084 Fac-03084-Shorewood-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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