LAKE FOREST, IL —
OSHA Injury Report: NAI-0032-0032-03490 FAC-03490-LAKE FOREST-IL
Injury · Other recordable case
At a glance
On , an injury at NAI-0032-0032-03490 FAC-03490-LAKE FOREST-IL in LAKE FOREST, IL 60045 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03490 FAC-03490-LAKE FOREST-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 890 N. WESTERN AVE.
- City
- LAKE FOREST
- State
- IL
- ZIP
- 60045
- On-site location
- RESTROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING OUT OF THE RESTROOM
What happened
Ee Alleges About Three [REDACTED] Ago She Was Walking Out Of The Restroom Slipped On Toilet Paper And Twisted Her Right Ankle.
Injury or illness
Sprained Right Ankle Strained FLOOR
Object or substance involved
FLOOR
Summary line
Ee Alleges About Three [REDACTED] Ago She Was Walking Out Of The Restroom Slipped On Toilet Paper And Twisted Her Right Ankle.
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 108
- Total hours worked
- 147148
- EIN
- 361282500
- Establishment ID
- 1140806
- Employer case #
- 76538
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 11:41:00.000
- 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.