Middlebury, IN ·
OSHA Injury Report: 862 - Meijer Central Kitchen Deli
Injury · Job transfer or restriction
At a glance
On , an injury at 862 - Meijer Central Kitchen Deli in 536 N Main St, Middlebury, IN 46540 resulted in job transfer or restriction. Employee was maintenance Level FT.
Where did this happen?
- Establishment
- 862 - Meijer Central Kitchen Deli
- Parent company
- Meijer
- Street
- 536 N Main St
- City
- Middlebury
- State
- IN
- ZIP
- 46540
- On-site location
- Clean Room CK Only
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Loosening a bolt
What happened
Strain Sprain Shoulders Fixed Objects TM has left arm in an awkward position to gain access to a bolt. When the TM leaned back he felt a jolting pop in his left shoulder.
Injury or illness
Strain Sprain
Object or substance involved
NA
Summary line
Strain Sprain Shoulders Fixed Objects TM has left arm in an awkward position to gain access to a bolt. When the TM leaned back he felt a jolting pop in his left shoulder.
Employee and industry
- Job description
- Maintenance Level FT
- SOC code
- 9999: Uncoded
- NAICS code
- 311991
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 106
- Hours worked at this establishment (2024 total)
- 176,613
- EIN
- 383496075
- Establishment ID
- 986733
- Employer case #
- WC20240021
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2024
- Submitted to OSHA
- 2025-03-03
More injuries at 862 - Meijer Central Kitchen Deli
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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.
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