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 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
- Avg employees
- 145
- Total hours worked
- 210409
- EIN
- 361282500
- Establishment ID
- 1140812
- Employer case #
- 75331
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 17:00:00.000
- Submitted
- 21FEB24:00:08:00
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.