Benton Harbor, MI —
OSHA Injury Report: MIBENTO01
Injury · Other recordable case
At a glance
On , an injury at MIBENTO01 in Benton Harbor, MI 49022 resulted in other recordable case. Employee was team Lead in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- MIBENTO01
- Parent company
- Gordon Food Service
- Street
- 1350 Mall Drive
- City
- Benton Harbor
- State
- MI
- ZIP
- 49022
- On-site location
- In store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
routine work duties
What happened
EE states he was stocking boxes of juice when he started to feel dizzy and lost consciousness EE states when he lost consciousness he hit his head and is unsure length of time he was out Supervisor is aware
Injury or illness
Contusion
Object or substance involved
cases
Summary line
EE states he was stocking boxes of juice when he started to feel dizzy and lost consciousness EE states when he lost consciousness he hit his head and is unsure length of time he was out Supervisor is aware
Employee and industry
- Job description
- Team Lead
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2022
- Avg employees
- 35
- Total hours worked
- 29586
- EIN
- 161675916
- Establishment ID
- 1369690
- Employer case #
- 1910WC2503
When (timing detail)
- Date of incident
- Time of incident
- 12:30
- Filing year
- 2024
- Submitted
- 01MAR2025:21:29:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.