NILES, IL —
OSHA Injury Report: NAI-0032-0032-03484 FAC-03484-NILES-IL
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0032-0032-03484 FAC-03484-NILES-IL in NILES, IL 60714 resulted in job transfer or restriction. Employee was mtnc Food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03484 FAC-03484-NILES-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 5667 WEST TOUHY AVENUE
- City
- NILES
- State
- IL
- ZIP
- 60714
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
CLEANING - CASE EQUIPMENT OR TOOLS
What happened
While repairing toilet lid lid fell and broke causing sharp edge to cut lower left forearm.
Injury or illness
Lacerated Left Wrist Cut punctured scraped TOILET LID
Object or substance involved
TOILET LID
Summary line
While repairing toilet lid lid fell and broke causing sharp edge to cut lower left forearm.
Employee and industry
- Job description
- Mtnc Food Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 167
- Total hours worked
- 216732
- EIN
- 361282500
- Establishment ID
- 1140801
- Employer case #
- 78819
When (timing detail)
- Date of incident
- Shift started
- 10:15:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 21FEB24:00:07:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.