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 9375 Cherry Valley Av SE, 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
- Employees at this establishment (2025 average)
- 103
- Hours worked at this establishment (2025 total)
- 124,731
- EIN
- 380593940
- Establishment ID
- 1463724
- Employer case #
- 25000545
When (timing detail)
- Date of incident
- Time of incident
- 16:20
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-11
More injuries at 1577 D&W -Caledonia, MI Prevo'S #38-3345860
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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