CHICAGO, IL ·
OSHA Injury Report: NAI-0032-0032-01214 FAC-01214-CHICAGO-IL
Injury · Days away from work
At a glance
On , an injury at NAI-0032-0032-01214 FAC-01214-CHICAGO-IL in 3128 W 103RD STREET, CHICAGO, IL 60655 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0032-0032-01214 FAC-01214-CHICAGO-IL
- Parent company
- Jewel Food Stores, Inc
- Street
- 3128 W 103RD STREET
- City
- CHICAGO
- State
- IL
- ZIP
- 60655
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
Before the incident
CLEANING - DELI SLICER
What happened
Associate slipped on water on floor in deli department
Injury or illness
Sprained Left Knee Fall FLOOR
Object or substance involved
FLOOR
Summary line
Associate slipped on water on floor in deli department
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 83
- Hours worked at this establishment (2023 total)
- 108,013
- EIN
- 361282500
- Establishment ID
- 1140687
- Employer case #
- 75013
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 18:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-28
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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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