ELLSWORTH, ME ·
OSHA Injury Report: NAI-0033-0033-00057 FAC-00057-ELLSWORTH-ME
Injury · Days away from work
At a glance
On , an injury at NAI-0033-0033-00057 FAC-00057-ELLSWORTH-ME in 175 HIGH STREET, ELLSWORTH, ME 4605 resulted in days away from work. Employee was home Shopping P in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-00057 FAC-00057-ELLSWORTH-ME
- Parent company
- Shaws Supermarkets Inc
- Street
- 175 HIGH STREET
- City
- ELLSWORTH
- State
- ME
- ZIP
- 4605
- On-site location
- BACKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 32
- Days restricted or transferred
- 70
Before the incident
IN BACKROOM GETTING GINGER ALE FOR A CUSTOMER
What happened
In backroom getting ginger ale for a customer and tripped on a pallet jack while getting the gingerale falling to the floor
Injury or illness
Lacerated Right Shoulder s Trip Floor
Object or substance involved
Floor
Summary line
In backroom getting ginger ale for a customer and tripped on a pallet jack while getting the gingerale falling to the floor
Employee and industry
- Job description
- Home Shopping P
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 116
- Hours worked at this establishment (2025 total)
- 145,685
- EIN
- 041123420
- Establishment ID
- 1141675
- Employer case #
- 89867
When (timing detail)
- Date of incident
- Shift started
- 04:30
- Time of incident
- 05:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-21
More injuries at NAI-0033-0033-00057 Fac-00057-Ellsworth-Me
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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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