FOX LAKE, IL ·
OSHA Injury Report: NAI-0032-0032-03453 FAC-03453-FOX LAKE-IL
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0032-0032-03453 FAC-03453-FOX LAKE-IL in 1350 US ROUTE 12, FOX LAKE, IL 60020 resulted in job transfer or restriction. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03453 FAC-03453-FOX LAKE-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 1350 US ROUTE 12
- City
- FOX LAKE
- State
- IL
- ZIP
- 60020
- On-site location
- FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
PALLET LOAD BREAKDOWN SORT
What happened
Ee Alleges Approximately 4 Hours Ago While Getting Product Out Of The Back Freezer She Slipped On The Metal Piece And Fell Backwards On Her Rt Hand Lt Elbow And Back Causing Pain To Her Rt Hand Lt Elbow And Back And A Headache.
Injury or illness
Bruised Upper back Fall FLOOR
Object or substance involved
FLOOR
Summary line
Ee Alleges Approximately 4 Hours Ago While Getting Product Out Of The Back Freezer She Slipped On The Metal Piece And Fell Backwards On Her Rt Hand Lt Elbow And Back Causing Pain To Her Rt Hand Lt Elbow And Back And A Headache.
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 158
- Hours worked at this establishment (2023 total)
- 217,395
- EIN
- 361282500
- Establishment ID
- 1140782
- Employer case #
- 78402
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 07:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
More injuries at NAI-0032-0032-03453 Fac-03453-Fox Lake-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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