SILVIS, IL —
OSHA Injury Report: NAI-0032-0032-03088 FAC-03088-SILVIS-IL
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0032-0032-03088 FAC-03088-SILVIS-IL in SILVIS, IL 61282 resulted in job transfer or restriction. Employee was deli Manager in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03088 FAC-03088-SILVIS-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 1312 JOHN DEERE EXPRESSWAY
- City
- SILVIS
- State
- IL
- ZIP
- 61282
- On-site location
- DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
WALKING BY THE FRYERS AND TRIPPED
What happened
He Was In The Deli Walking By The Fryers When He Tripped Over A Hose And Fell Forward Onto Both His Elbows With Pain To His L Shoulder Blade
Injury or illness
Bruised Left Shoulder(s) Fall FLOOR
Object or substance involved
FLOOR
Summary line
Ee Alleges 8 [REDACTED] Ago He Was In The Deli Walking By The Fryers When He Tripped Over A Hose And Fell Forward Onto Both His Elbows With Pain To His L Shoulder Blade
Employee and industry
- Job description
- Deli Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 117
- Total hours worked
- 143852
- EIN
- 361282500
- Establishment ID
- 1140718
- Employer case #
- 78654
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 10:00:00.000
- 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.