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SHOREWOOD, IL —

OSHA Injury Report: NAI-0032-0032-03084 FAC-03084-SHOREWOOD-IL

Injury · Other recordable case

At a glance

On , an injury at NAI-0032-0032-03084 FAC-03084-SHOREWOOD-IL in 199 BROOKFOREST AVE, SHOREWOOD, IL 60431 resulted in other recordable case. Employee was floral Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0032-0032-03084 FAC-03084-SHOREWOOD-IL
Parent company
Jewel Food Stores, Inc
Street
199 BROOKFOREST AVE
City
SHOREWOOD
State
IL
ZIP
60431
On-site location
FRONT END

What was the outcome?

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

Before the incident

TRYING TO PULL METAL COVER WHEN IT POPPED OUT

What happened

[REDACTED] was changing the helium tanks trying to pull metal cover when it popped out and hit her on the mouth. Chipped her front tooth

Injury or illness

Fracture Teeth Struck against HELIUM COVER

Object or substance involved

HELIUM COVER

Summary line

[REDACTED] was changing the helium tanks trying to pull metal cover when it popped out and hit her on the mouth. Chipped her front tooth

Employee and industry

Job description
Floral Clerk
SOC code
27-1023 — Floral Designers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
210
Total hours worked
236871
EIN
361282500
Establishment ID
1140717
Employer case #
78565

When (timing detail)

Date of incident
Shift started
10:00:00.000
Time of incident
15:30:00.000
Submitted
21FEB24:00:06:00

More injuries at NAI-0032-0032-03084 FAC-03084-SHOREWOOD-IL

View NAI-0032-0032-03084 FAC-03084-SHOREWOOD-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.