WAUCONDA, IL ·
OSHA Injury Report: NAI-0032-0032-03515 FAC-03515-WAUCONDA-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-03515 FAC-03515-WAUCONDA-IL in 547 W LIBERTY STREET, WAUCONDA, IL 60084 resulted in days away from work. Employee was clerk Drug Gm in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03515 FAC-03515-WAUCONDA-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 547 W LIBERTY STREET
- City
- WAUCONDA
- State
- IL
- ZIP
- 60084
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
BAILER OPERATION
What happened
associate [REDACTED] has pain in right shoulder
Injury or illness
Rupture Right Shoulder(s) Pushing or pulling BODY MOVEMENT
Object or substance involved
BODY MOVEMENT
Summary line
associate [REDACTED] has pain in right shoulder
Employee and industry
- Job description
- Clerk Drug Gm
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 145
- Hours worked at this establishment (2023 total)
- 210,409
- EIN
- 361282500
- Establishment ID
- 1140812
- Employer case #
- 75331
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 17:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
More injuries at NAI-0032-0032-03515 Fac-03515-Wauconda-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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