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CRYSTAL LAKE, IL —

OSHA Injury Report: NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-IL

Injury · Days away from work

At a glance

On , an injury at NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-IL in 6140 NORTHWEST HWY, CRYSTAL LAKE, IL 60014 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-IL
Parent company
Jewel Food Stores, Inc
Street
6140 NORTHWEST HWY
City
CRYSTAL LAKE
State
IL
ZIP
60014
On-site location
DELI

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
8

Before the incident

FOOD PRODUCT PREP

What happened

Employee was walking behind the [REDACTED]. There was a puddle of water. He slipped on the water and fell. stopping himself with his right arm.

Injury or illness

Bruised Right Shoulder(s) Fall FLOOR

Object or substance involved

FLOOR

Summary line

Employee was walking behind the [REDACTED]. There was a puddle of water. He slipped on the water and fell. stopping himself with his right arm.

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
199
Total hours worked
262742
EIN
361282500
Establishment ID
1140708
Employer case #
79834

When (timing detail)

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

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View NAI-0032-0032-02517 FAC-02517-CRYSTAL LAKE-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.