NILES, IL ·
OSHA Injury Report: NAI-0032-0032-03446 FAC-03446-NILES-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-03446 FAC-03446-NILES-IL in 7900 MILWAUKEE AVENUE, NILES, IL 60714 resulted in other recordable case. Employee was night Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03446 FAC-03446-NILES-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 7900 MILWAUKEE AVENUE
- City
- NILES
- State
- IL
- ZIP
- 60714
- On-site location
- BREAKROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
NORMAL JOB DUTIES
What happened
[REDACTED] slip and fell in the breakroom on water. He fell hit is left side of back left shoulder and left side of his head. Ambulance called and taken to the ER
Injury or illness
Strained Left Shoulder(s) Fall FLOOR
Object or substance involved
FLOOR
Summary line
[REDACTED] slip and fell in the breakroom on water. He fell hit is left side of back left shoulder and left side of his head. Ambulance called and taken to the ER
Employee and industry
- Job description
- Night 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)
- 130
- Hours worked at this establishment (2023 total)
- 175,447
- EIN
- 361282500
- Establishment ID
- 1140780
- Employer case #
- 75984
When (timing detail)
- Date of incident
- Shift started
- 23:00
- Time of incident
- 01:50
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
More injuries at NAI-0032-0032-03446 Fac-03446-Niles-Il
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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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