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 night stock 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
- Dairy Cooler
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Stocking milk in dairy dept
What happened
Associate was in Dairy cooler filling milk and was bringing down a milk crate from high up and slipped on wet floor and tripped on rags on floor and plastic wrap She injured her right hip goose egg on head and small scratch under left eye
Injury or illness
Hip Head
Object or substance involved
Slip and Fall on liquid
Summary line
Associate was in Dairy cooler filling milk and was bringing down a milk crate from high up and slipped on wet floor and tripped on rags on floor and plastic wrap She injured her right hip goose egg on head and small scratch under left eye Whole Body
Employee and industry
- Job description
- Night stock
- 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 (2025 average)
- 103
- Hours worked at this establishment (2025 total)
- 124,731
- EIN
- 380593940
- Establishment ID
- 1463724
- Employer case #
- 25001595
When (timing detail)
- Date of incident
- Time of incident
- 04:00
- 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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