CHICAGO, IL ·
OSHA Injury Report: NAI-0032-0032-03407 FAC-03407-CHICAGO-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-03407 FAC-03407-CHICAGO-IL in 5516 NORTH CLARK STREET, CHICAGO, IL 60640 resulted in other recordable case. Employee was store Director in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03407 FAC-03407-CHICAGO-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 5516 NORTH CLARK STREET
- City
- CHICAGO
- State
- IL
- ZIP
- 60640
- On-site location
- BACKROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING ACROSS BACKROOM
What happened
I was walking across backroom and tripped on a low stacked blackboard.
Injury or illness
Sprained Right Ankle Fall FLOOR
Object or substance involved
FLOOR
Summary line
I was walking across backroom and tripped on a low stacked blackboard.
Employee and industry
- Job description
- Store Director
- 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)
- 159
- Hours worked at this establishment (2023 total)
- 210,562
- EIN
- 361282500
- Establishment ID
- 1140767
- Employer case #
- 75831
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 18:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
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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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