Benton Harbor, MI —
OSHA Injury Report: MI-BENTO01&03
Injury · Other recordable case
At a glance
On , an injury at MI-BENTO01&03 in Benton Harbor, MI 49022 resulted in other recordable case. Employee was uS Driver Van Delivery Store in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- MI-BENTO01&03
- Parent company
- Gordon Food Service Store LLC MI-BENTO01&03
- Street
- 1350 Mall Dr
- City
- Benton Harbor
- State
- MI
- ZIP
- 49022
- On-site location
- delivery location
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Loading van
What happened
Employee states he struck his head on a loading van causing fracture to skull.
Injury or illness
Laceration
Object or substance involved
van
Summary line
Employee states he struck his head on a loading van causing fracture to skull.
Employee and industry
- Job description
- US Driver Van Delivery Store
- SOC code
- 53-3033 — Light Truck Drivers
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2022
- Avg employees
- 39
- Total hours worked
- 34613
- EIN
- 161675916
- Establishment ID
- 1501187
- Employer case #
- 28046
When (timing detail)
- Date of incident
- Shift started
- 0:00
- Time of incident
- 10:40
- Filing year
- 2025
- Submitted
- 01MAR26:19:29:00
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.