Springfield, IL —
OSHA Injury Report: Malibu Jack's Springfield
Injury · Days away from work
At a glance
On , an injury at Malibu Jack's Springfield in Springfield, IL 62704 resulted in days away from work. Employee was bowling Desk Attendant in family fun centers.
Where did this happen?
- Establishment
- Malibu Jack's Springfield
- Parent company
- Malibu Jack's Springfield, LLC
- Street
- 2501 Wabash Ave.
- City
- Springfield
- State
- IL
- ZIP
- 62704
- On-site location
- at the bowling desk
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
employee was standing at the bowling desk
What happened
employee started having a seizure fell to the floor hit head and bit tongue
Injury or illness
seizure and fall
Object or substance involved
floor
Summary line
employee had a seizure and fell to the floor
Employee and industry
- Job description
- Bowling Desk Attendant
- SOC code
- 39-3091 — Amusement and Recreation Attendants
- NAICS code
- 713120 — Family fun centers
- NAICS vintage
- 2022
- Avg employees
- 100
- Total hours worked
- 44777
- EIN
- 882536049
- Establishment ID
- 1189520
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 15:55:00.000
- Time of incident
- 18:30:00.000
- Submitted
- 02MAR24:01:36:00
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.