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SOUTH HOLLAND, IL —

OSHA Injury Report: NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL

Injury · Days away from work

At a glance

On , an injury at NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL in 763 E 162ND ST, SOUTH HOLLAND, IL 60476 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery except Convenience Stores.

Where did this happen?

Establishment
NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL
Parent company
Jewel Food Stores Inc
Street
763 E 162ND ST
City
SOUTH HOLLAND
State
IL
ZIP
60476
On-site location
DELI

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
91

Before the incident

FOOD PRODUCT PREP

What happened

WAS CARRYING 2 CEASER SALAD BOXES AND SLIPPED ON KITCHEN FLOOR BECAUSE IT WAS WET

Injury or illness

Bursitis Right Shoulder s Fall from liquid grease Boxes

Object or substance involved

Boxes

Summary line

WAS CARRYING 2 CEASER SALAD BOXES AND SLIPPED ON KITCHEN FLOOR BECAUSE IT WAS WET

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
154
Total hours worked
187033
EIN
361282500
Establishment ID
1140653
Employer case #
84521

When (timing detail)

Date of incident
Shift started
6:00
Time of incident
11:55
Filing year
2024
Submitted
24FEB2025:18:53:00

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View NAI-0032-0032-00063 FAC-00063-SOUTH HOLLAND-IL's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.