BURLINGTON, VT ·
OSHA Injury Report: NAI-0033-0033-00117 FAC-00117-BURLINGTON-VT
Injury · Other recordable case
At a glance
On , an injury at NAI-0033-0033-00117 FAC-00117-BURLINGTON-VT in 570 SHELBURNE ROAD, BURLINGTON, VT 5403 resulted in other recordable case. Employee was fresh Cut Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-00117 FAC-00117-BURLINGTON-VT
- Parent company
- Shaws Supermarkets Inc
- Street
- 570 SHELBURNE ROAD
- City
- BURLINGTON
- State
- VT
- ZIP
- 5403
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PRODUCE FRESH CUT PROCESSING
What happened
While Turning To Go Look At The Bulletin Board She Tripped On The Fatigue Mat And Fell Onto Both Knees Her Stomach And R Arm Causing Pain
Injury or illness
Fracture Right Shoulder s Fall Floor
Object or substance involved
Floor
Summary line
While Turning To Go Look At The Bulletin Board She Tripped On The Fatigue Mat And Fell Onto Both Knees Her Stomach And R Arm Causing Pain
Employee and industry
- Job description
- Fresh Cut Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 103
- Hours worked at this establishment (2024 total)
- 139,931
- EIN
- 41123420
- Establishment ID
- 1141687
- Employer case #
- 85911
When (timing detail)
- Date of incident
- Shift started
- 06:24
- Time of incident
- 09:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-25
More injuries at NAI-0033-0033-00117 Fac-00117-Burlington-Vt
View NAI-0033-0033-00117 Fac-00117-Burlington-Vt's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in VT
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.