ROUND LAKE BEACH, IL ·
OSHA Injury Report: NAI-0032-0032-03432 FAC-03432-ROUND LAKE BEACH-IL
Injury · Days away from work
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 days away from work. Employee was food Clerk 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
- GROCERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 31
- Days restricted or transferred
- 149
Before the incident
A LOAD PALLET WITH POWER JACK
What happened
employee was moving a load pallet with power jack clipped a cart hitting another employee.
Injury or illness
Sprained Left Knee Struck against POWER JACK
Object or substance involved
POWER JACK
Summary line
employee was moving a load pallet with power jack clipped a cart hitting another employee.
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- 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 #
- 75766
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 05:30
- 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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