FAIR HAVEN, VT —
OSHA Injury Report: NAI-0033-0033-01324 FAC-01324-FAIR HAVEN-VT
Injury · Other recordable case
At a glance
On , an injury at NAI-0033-0033-01324 FAC-01324-FAIR HAVEN-VT in FAIR HAVEN, VT 5743 resulted in other recordable case. Employee was mgr Asst Dept in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-01324 FAC-01324-FAIR HAVEN-VT
- Parent company
- Shaws Supermarkets Inc
- Street
- 195 OLD RT 22A
- City
- FAIR HAVEN
- State
- VT
- ZIP
- 5743
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
RECEIVING UNLOADING TRUCK
What happened
Employee slipped and fell while moving pallets in perishable trailer
Injury or illness
Sprained Left Upper back Fall Floor
Object or substance involved
Floor
Summary line
Employee slipped and fell while moving pallets in perishable trailer
Employee and industry
- Job description
- Mgr Asst Dept
- 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
- 98
- Total hours worked
- 120881
- EIN
- 041123420
- Establishment ID
- 1141700
- Employer case #
- 86664
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 12:40
- 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.