ROUND LAKE BEACH, IL ·
OSHA Injury Report: NAI-0032-0032-03432 FAC-03432-ROUND LAKE BEACH-IL
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0032-0032-03432 FAC-03432-ROUND LAKE BEACH-IL in 900 E ROLLINS ROAD, ROUND LAKE BEACH, IL 60073 resulted in job transfer or restriction. Employee was deli Manager in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03432 FAC-03432-ROUND LAKE BEACH-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 900 E ROLLINS ROAD
- City
- ROUND LAKE BEACH
- State
- IL
- ZIP
- 60073
- On-site location
- DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 2
Before the incident
PUSHING UBOAT
What happened
pushing uboat and heard left shoulder pop and now she can not lift arm above head
Injury or illness
Sprained Left Shoulder(s) Pushing or pulling UBOAT
Object or substance involved
UBOAT
Summary line
pushing uboat and heard left shoulder pop and now she can not lift arm above head
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
- Employees at this establishment (2023 average)
- 144
- Hours worked at this establishment (2023 total)
- 182,534
- EIN
- 361282500
- Establishment ID
- 1140775
- Employer case #
- 74851
When (timing detail)
- Date of incident
- Shift started
- 08:30
- Time of incident
- 12:15
- 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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