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GRAYSLAKE, IL —

OSHA Injury Report: NAI-0032-0032-03464 FAC-03464-GRAYSLAKE-IL

Injury · Other recordable case

At a glance

On , an injury at NAI-0032-0032-03464 FAC-03464-GRAYSLAKE-IL in 885 EAST BELVIDERE ROAD, GRAYSLAKE, IL 60030 resulted in other recordable case. Employee was food Clerk in supermarkets and Other Grocery except Convenience Stores.

Where did this happen?

Establishment
NAI-0032-0032-03464 FAC-03464-GRAYSLAKE-IL
Parent company
Jewel Food Stores Inc
Street
885 EAST BELVIDERE ROAD
City
GRAYSLAKE
State
IL
ZIP
60030
On-site location
FRONT END

What was the outcome?

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

Before the incident

BUILDING DISPLAY

What happened

fell off step ladder onto hos right shoulder

Injury or illness

Sprained Right Shoulder s Fall from ladder scaffold Floor

Object or substance involved

Floor

Summary line

fell off step ladder onto hos right shoulder

Employee and industry

Job description
Food Clerk
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery except Convenience Stores
NAICS vintage
2022
Avg employees
190
Total hours worked
266503
EIN
361282500
Establishment ID
1140788
Employer case #
86209

When (timing detail)

Date of incident
Shift started
7:22
Time of incident
11:00
Filing year
2024
Submitted
24FEB2025:18:53:00

More injuries at NAI-0032-0032-03464 FAC-03464-GRAYSLAKE-IL

View NAI-0032-0032-03464 FAC-03464-GRAYSLAKE-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.