LAKE ZURICH, IL —
OSHA Injury Report: 531-00514
Injury · Days away from work
At a glance
On , an injury at 531-00514 in LAKE ZURICH, IL 60047 resulted in days away from work. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 531-00514
- Parent company
- Mariano's
- Street
- 1350 East Route 22
- City
- LAKE ZURICH
- State
- IL
- ZIP
- 60047
- On-site location
- BACK OF DELI DEPARTMENT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
PUSHING A CART
What happened
EE PUSHING A CART THRU BACK AREA OF DELI AND FELL HURT RIGHT SHOULDER MAY HAVE HIT HEAD
Injury or illness
Fracture Right Shoulders Fall SELF
Object or substance involved
SELF
Summary line
Fracture Right Shoulder Fall SELF
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
- Avg employees
- 181
- Total hours worked
- 227144
- EIN
- 270999232
- Establishment ID
- 966214
- Employer case #
- 853087
When (timing detail)
- Date of incident
- Shift started
- 15:00:00.000
- Time of incident
- 17:40:00.000
- Submitted
- 28FEB24:20:44:00
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.