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DALLAS, TX —

OSHA Injury Report: NAI-0032-0032-01111 FAC-01111-NAPERVILLE-IL

Injury · Other recordable case

At a glance

On , an injury at NAI-0032-0032-01111 FAC-01111-NAPERVILLE-IL in 1227 NORTH MASTERS DRIVE, DALLAS, TX 75217 resulted in other recordable case. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0032-0032-01111 FAC-01111-NAPERVILLE-IL
Parent company
Jewel Food Stores, Inc
Street
1227 NORTH MASTERS DRIVE
City
DALLAS
State
TX
ZIP
75217
On-site location
DELI

What was the outcome?

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

Before the incident

NORMAL JOB DUTIES

What happened

Slipped on grease and fell

Injury or illness

Strained Right Back Fall FLOOR

Object or substance involved

FLOOR

Summary line

Slipped on grease and fell

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
177
Total hours worked
233007
EIN
361282500
Establishment ID
1140681
Employer case #
75894

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
9:00:00.000
Submitted
21FEB24:00:06:00

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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.