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COUNTRYSIDE, IL —

OSHA Injury Report: NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL

Injury · Other recordable case

At a glance

On , an injury at NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL in 5545 BRAINARD AVE., COUNTRYSIDE, IL 60525 resulted in other recordable case. Employee was deli Clerk in supermarkets and Other Grocery except Convenience Stores.

Where did this happen?

Establishment
NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL
Parent company
Jewel Food Stores Inc
Street
5545 BRAINARD AVE.
City
COUNTRYSIDE
State
IL
ZIP
60525
On-site location
DELI

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

LIFTING A BOX OF CHICKEN

What happened

lifting a box of chicken and it slipped and he tried to catch it and the weight of it pushed he s face forward and he pulled out a tooth left side third tooth from back bottom jaw in deli meat cooler

Injury or illness

Fracture Teeth Trip Box

Object or substance involved

Box

Summary line

lifting a box of chicken and it slipped and he tried to catch it and the weight of it pushed he s face forward and he pulled out a tooth left side third tooth from back bottom jaw in deli meat cooler

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
174
Total hours worked
223180
EIN
361282500
Establishment ID
1140678
Employer case #
82042

When (timing detail)

Date of incident
Shift started
13:30
Time of incident
15:30
Filing year
2024
Submitted
24FEB2025:18:53:00

More injuries at NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-IL

View NAI-0032-0032-00754 FAC-00754-COUNTRYSIDE-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.