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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: NAI-0032-0032-03775 FAC-03775-BLOOMINGTON-IL

Injury · Job transfer or restriction

On , an injury at NAI-0032-0032-03775 FAC-03775-BLOOMINGTON-IL in 2103 NORTH VETERANS PARKWAY, BLOOMINGTON, IL 61704 resulted in job transfer or restriction. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Parent company
Jewel Food Stores, Inc
Street
2103 NORTH VETERANS PARKWAY
City
BLOOMINGTON
State
IL
ZIP
61704
On-site location
RECEIVING
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
11

RECEIVING UNLOADING TRUCK

[REDACTED] was in receiving checking in a vendor he moved a pallet jack in front of a pallet to get ready to move the pallet. While he was talking to the vendor the pallet jack rolled behind him and he stepped back and fell

Bruised Left Elbow Fall PALLET JACK

PALLET JACK

[REDACTED] was in receiving checking in a vendor he moved a pallet jack in front of a pallet to get ready to move the pallet. While he was talking to the vendor the pallet jack rolled behind him and he stepped back and fell

Job description
Food Clerk
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
98
Total hours worked
112911
EIN
361282500
Establishment ID
1140821
Employer case #
79440
Date of incident
Shift started
6:00:00.000
Time of incident
11:44:00.000
Submitted
21FEB24:00:08:00

View NAI-0032-0032-03775 FAC-03775-BLOOMINGTON-IL's full OSHA safety record →

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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.