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NILES, IL —

OSHA Injury Report: NAI-0032-0032-03446 FAC-03446-NILES-IL

Injury · Other recordable case

At a glance

On , an injury at NAI-0032-0032-03446 FAC-03446-NILES-IL in 7900 MILWAUKEE AVENUE, NILES, IL 60714 resulted in other recordable case. Employee was night Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0032-0032-03446 FAC-03446-NILES-IL
Parent company
Jewel Food Stores, Inc
Street
7900 MILWAUKEE AVENUE
City
NILES
State
IL
ZIP
60714
On-site location
BREAKROOM

What was the outcome?

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

Before the incident

NORMAL JOB DUTIES

What happened

[REDACTED] slip and fell in the breakroom on water. He fell hit is left side of back left shoulder and left side of his head. Ambulance called and taken to the ER

Injury or illness

Strained Left Shoulder(s) Fall FLOOR

Object or substance involved

FLOOR

Summary line

[REDACTED] slip and fell in the breakroom on water. He fell hit is left side of back left shoulder and left side of his head. Ambulance called and taken to the ER

Employee and industry

Job description
Night Clerk
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
130
Total hours worked
175447
EIN
361282500
Establishment ID
1140780
Employer case #
75984

When (timing detail)

Date of incident
Shift started
23:00:00.000
Time of incident
1:50:00.000
Submitted
21FEB24:00:07:00

More injuries at NAI-0032-0032-03446 FAC-03446-NILES-IL

View NAI-0032-0032-03446 FAC-03446-NILES-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.