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BLOOMINGTON, IL —

OSHA Injury Report: NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL

Injury · Days away from work

At a glance

On , an injury at NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL in 2203 EAST OAKLAND AVE, BLOOMINGTON, IL 61701 resulted in days away from work. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL
Parent company
Jewel Food Stores, Inc
Street
2203 EAST OAKLAND AVE
City
BLOOMINGTON
State
IL
ZIP
61701
On-site location
COOLER

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
180

Before the incident

FOOD PRODUCT PREP

What happened

Employee walking back from cooler into prep room slipped and fell on some water that was on the floor

Injury or illness

Rupture Right Shoulder(s) Fall FLOOR

Object or substance involved

FLOOR

Summary line

Employee walking back from cooler into prep room slipped and fell on some water that was on the floor

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
131
Total hours worked
158834
EIN
361282500
Establishment ID
1140660
Employer case #
75472

When (timing detail)

Date of incident
Shift started
7:00:00.000
Time of incident
14:15:00.000
Submitted
21FEB24:00:06:00

More injuries at NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL

View NAI-0032-0032-00116 FAC-00116-BLOOMINGTON-IL's full OSHA safety record →

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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.