Springfield, IL —
OSHA Injury Report: Malibu Jack's Springfield
Other illness · Other recordable case
At a glance
On , an other illness at Malibu Jack's Springfield in Springfield, IL 62704 resulted in other recordable case. Employee was hospitality Hero 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 DOF ride
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Other illness (code 6)
Before the incident
employee was assisting guests onto the DOF ride
What happened
employee started feeling funny sat down and had a mini seizure
Injury or illness
seizure
Object or substance involved
N A
Summary line
employee started feeling funny sat down and had a mini seizure
Employee and industry
- Job description
- Hospitality Hero
- SOC code
- 9999 — Uncoded
- NAICS code
- 713120 — Family fun centers
- NAICS vintage
- 2022
- Avg employees
- 100
- Total hours worked
- 44777
- EIN
- 882536049
- Establishment ID
- 1189520
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 10:45:00.000
- Time of incident
- 15:15:00.000
- Submitted
- 02MAR24:01:42:00
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.