CHICAGO, IL ·
OSHA Injury Report: NAI-0032-0032-03721 FAC-03721-CHICAGO-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-03721 FAC-03721-CHICAGO-IL in 6107 SOUTH ARCHER AVENUE, CHICAGO, IL 60638 resulted in days away from work. Employee was night Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-03721 FAC-03721-CHICAGO-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 6107 SOUTH ARCHER AVENUE
- City
- CHICAGO
- State
- IL
- ZIP
- 60638
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 119
Before the incident
LIFTING UP A BOX OF RICE 15-20 LB
What happened
[REDACTED] lifted up a box of rice 15-20 lbs and left a brun in his right bi cep
Injury or illness
Rupture Right Upper arm Struck by object being handled BOX
Object or substance involved
BOX
Summary line
[REDACTED] lifted up a box of rice 15-20 lbs and left a brun in his right bi cep
Employee and industry
- Job description
- Night Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 186
- Hours worked at this establishment (2023 total)
- 240,262
- EIN
- 361282500
- Establishment ID
- 1140817
- Employer case #
- 77417
When (timing detail)
- Date of incident
- Shift started
- 23:00
- Time of incident
- 02:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
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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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