CHICAGO, IL ·
OSHA Injury Report: "CLYBOURN IL - 3092"
Injury · Days away from work
At a glance
On , an injury at "CLYBOURN IL - 3092" in "2601 N CLYBOURN AVENUE", CHICAGO, IL 606E6 resulted in days away from work. Employee was receiver in "Home Centers".
Where did this happen?
- Establishment
- "CLYBOURN IL - 3092"
- Parent company
- "Menards"
- Street
- "2601 N CLYBOURN AVENUE"
- City
- CHICAGO
- State
- IL
- ZIP
- 606E6
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 86
Before the incident
STANDING ON CARPET TUBE TO BREAK DOWN FOR COMPACTOR
What happened
WHEN STEPPING ON TUBE HE LOST HIS BALANCE AND FELL BACKWARDS
Injury or illness
FRACTURE LEFT HIP
Object or substance involved
CARDBOARD TUBE AND FLOOR
Summary line
FRACTURE LEFT HIP--LOST BALANCE AND FELL ON BACKSIDE
Employee and industry
- Job description
- RECEIVER
- SOC code
- 43-5071: Shipping, Receiving, and Inventory Clerks
- NAICS code
- 444110: "Home Centers"
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 142
- Hours worked at this establishment (2023 total)
- 199,976
- EIN
- 390989248
- Establishment ID
- 1002055
- Employer case #
- 6000154308
When (timing detail)
- Date of incident
- Shift started
- 04:55
- Time of incident
- 06:47
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-26
More injuries at "Clybourn IL - 3092"
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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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