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CHICAGO, IL —

OSHA Injury Report: NAI-0032-0032-03407 FAC-03407-CHICAGO-IL

Injury · Other recordable case

At a glance

On , an injury at NAI-0032-0032-03407 FAC-03407-CHICAGO-IL in 5516 NORTH CLARK STREET, CHICAGO, IL 60640 resulted in other recordable case. Employee was store Director in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0032-0032-03407 FAC-03407-CHICAGO-IL
Parent company
Jewel Food Stores, Inc
Street
5516 NORTH CLARK STREET
City
CHICAGO
State
IL
ZIP
60640
On-site location
BACKROOM

What was the outcome?

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

Before the incident

WALKING ACROSS BACKROOM

What happened

I was walking across backroom and tripped on a low stacked blackboard.

Injury or illness

Sprained Right Ankle Fall FLOOR

Object or substance involved

FLOOR

Summary line

I was walking across backroom and tripped on a low stacked blackboard.

Employee and industry

Job description
Store Director
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
159
Total hours worked
210562
EIN
361282500
Establishment ID
1140767
Employer case #
75831

When (timing detail)

Date of incident
Shift started
8:00:00.000
Time of incident
18:15:00.000
Submitted
21FEB24:00:07:00

More injuries at NAI-0032-0032-03407 FAC-03407-CHICAGO-IL

View NAI-0032-0032-03407 FAC-03407-CHICAGO-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.