SPRING GROVE, IL ·
OSHA Injury Report: NAI-0032-0032-03415 FAC-03415-SPRING GROVE-IL
Injury · Days away from work
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 days away from work. Employee was bakery Clerk 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
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 34
- Days restricted or transferred
- 112
Before the incident
PALLET STACKING
What happened
tripped and fell
Injury or illness
Strained Left Shoulder(s) Fall PALLET
Object or substance involved
PALLET
Summary line
tripped and fell
Employee and industry
- Job description
- Bakery Clerk
- SOC code
- 51-3011: Bakers
- 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 #
- 78920
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 16:30
- 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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