BERLIN, VT —
OSHA Injury Report: NAI-0033-0033-00616 FAC-00616-BERLIN-VT
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0033-0033-00616 FAC-00616-BERLIN-VT in BERLIN, VT 5602 resulted in job transfer or restriction. Employee was grocery Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-00616 FAC-00616-BERLIN-VT
- Parent company
- Shaws Supermarkets Inc
- Street
- 160 PAINE TURNPIKE NORTH
- City
- BERLIN
- State
- VT
- ZIP
- 5602
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 12
Before the incident
BUILDING DISPLAY
What happened
While Assisting A Coworker Move A Produce Counter table He Slipped And Fell On A Puddle Falling On injuring His R Arm R Leg And R Side Of His Neck
Injury or illness
Bruised Right Shoulder s Fall Floor
Object or substance involved
Floor
Summary line
While Assisting A Coworker Move A Produce Counter table He Slipped And Fell On A Puddle Falling On injuring His R Arm R Leg And R Side Of His Neck
Employee and industry
- Job description
- Grocery Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 157
- Total hours worked
- 180870
- EIN
- 041123420
- Establishment ID
- 1141695
- Employer case #
- 88012
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 6:00
- Filing year
- 2025
- Submitted
- 21FEB26:02:15:00
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.