CRYSTAL LAKE, IL —
OSHA Injury Report: "CRYSTAL LAKE IL - 3071"
Injury · Days away from work
At a glance
On , an injury at "CRYSTAL LAKE IL - 3071" in CRYSTAL LAKE, IL 60014 resulted in days away from work. Employee was aSST DEPARTMENT MANAGER in "Home Centers".
Where did this happen?
- Establishment
- "CRYSTAL LAKE IL - 3071"
- Parent company
- "Menards"
- Street
- "4850 ROUTE 14"
- City
- CRYSTAL LAKE
- State
- IL
- ZIP
- 60014
- On-site location
- STORE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 11
Before the incident
PLUGGING IN THE FLOOR CARPET MACHINE
What happened
HE BUMPED HIS HEAD ON THE MACHINE AS HE WAS COMING OUT FROM UNDERNEATH IT
Injury or illness
CONCUSSION - POST CONCUSSION SYMDROME HEAD
Object or substance involved
CARPET FLOOR MACHINE
Summary line
CONCUSSION - POST CONCUSSION SYNDROME HEAD FLOOR MACHINE
Employee and industry
- Job description
- ASST DEPARTMENT MANAGER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 444110 — "Home Centers"
- NAICS vintage
- 2022
- Avg employees
- 175
- Total hours worked
- 241695
- EIN
- 390989248
- Establishment ID
- 1002080
- Employer case #
- 6000147814
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 20:00:00.000
- Submitted
- 26FEB24:18:25:00
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.