SPRING GROVE, IL ·
OSHA Injury Report: NAI-0032-0032-03415 FAC-03415-SPRING GROVE-IL
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0032-0032-03415 FAC-03415-SPRING GROVE-IL in 2401 ROUTE 12, SPRING GROVE, IL 60081 resulted in job transfer or restriction. Employee was mgr Asst Dept in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03415 FAC-03415-SPRING GROVE-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 2401 ROUTE 12
- City
- SPRING GROVE
- State
- IL
- ZIP
- 60081
- On-site location
- GROCERY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
LIFTING 35 COUNT WATER AND FILLING SHELF
What happened
Lifting 35 count water and filling shelf. Felt pain in my right shoulder
Injury or illness
Sprained Right Shoulder(s) Lifting CASE OF WATER
Object or substance involved
CASE OF WATER
Summary line
Lifting 35 count water and filling shelf. Felt pain in my right shoulder
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)
- 151
- Hours worked at this establishment (2023 total)
- 193,838
- EIN
- 361282500
- Establishment ID
- 1140768
- Employer case #
- 78137
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 15:00
- 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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