LAKE ZURICH, IL ·
OSHA Injury Report: NAI-0032-0032-04305 FAC-04305-LAKE ZURICH-IL
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0032-0032-04305 FAC-04305-LAKE ZURICH-IL in 345 S RAND RD, LAKE ZURICH, IL 60047 resulted in job transfer or restriction. Employee was asst Store Dire in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-04305 FAC-04305-LAKE ZURICH-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 345 S RAND RD
- City
- LAKE ZURICH
- State
- IL
- ZIP
- 60047
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 14
Before the incident
WALKING IN THE PARKING LOT
What happened
[REDACTED] in parking lot by car slipped on sheet of ice. fell backwards.
Injury or illness
Strained Posterior Back Fall GROUND (ICY)
Object or substance involved
GROUND (ICY)
Summary line
[REDACTED] in parking lot by car slipped on sheet of ice. fell backwards.
Employee and industry
- Job description
- Asst Store Dire
- 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)
- 106
- Hours worked at this establishment (2023 total)
- 167,133
- EIN
- 361282500
- Establishment ID
- 1140833
- Employer case #
- 74551
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 11:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
More injuries at NAI-0032-0032-04305 Fac-04305-Lake Zurich-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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