Caledonia, MI —
OSHA Injury Report: 1577 D&W -Caledonia, MI PREVO'S #38-3345860
Injury · Other recordable case
At a glance
On , an injury at 1577 D&W -Caledonia, MI PREVO'S #38-3345860 in Caledonia, MI 49316 resulted in other recordable case. Employee was cust Serv Manager in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- 1577 D&W -Caledonia, MI PREVO'S #38-3345860
- Parent company
- SpartanNash
- Street
- 9375 Cherry Valley Av SE
- City
- Caledonia
- State
- MI
- ZIP
- 49316
- On-site location
- Front end foyerentry
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Associate was exiting the store
What happened
[REDACTED] was exiting at the South exit and she tripped over a ripple in the rug Her left foot got caught on the rug She fell into the sliding glass doors had a small cut on her forehead and had a pretty good size bump on her head
Injury or illness
Head
Object or substance involved
Trip and Fall on rug
Summary line
[REDACTED] was exiting at the [REDACTED] exit and she tripped over a ripple in the rug Her left foot got caught on the rug She fell into the sliding glass doors Head
Employee and industry
- Job description
- Cust Serv Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 103
- Total hours worked
- 124731
- EIN
- 380593940
- Establishment ID
- 1463724
- Employer case #
- 25000545
When (timing detail)
- Date of incident
- Time of incident
- 16:20
- Filing year
- 2025
- Submitted
- 11FEB26:17:02:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.