CORNELIUS, NC ·
OSHA Injury Report: 00179 JETTON VILLAGE
Injury · Other recordable case
At a glance
On , an injury at 00179 JETTON VILLAGE in 19815 NORTH COVE RD, CORNELIUS, NC 28031 resulted in other recordable case. Industry: Supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- 00179 JETTON VILLAGE
- Parent company
- Harris Teeter Supermarkets, Inc. JETTON VILLAGE
- Street
- 19815 NORTH COVE RD
- City
- CORNELIUS
- State
- NC
- ZIP
- 28031
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
LIFTING BAG OF SELTZER WATER
What happened
EE was picking up a customer order out of the cabinet EE picked up a bag and felt a pop in her left shoulder The bag had five one liter bottles of seltzer water in it EE is planning medical attention
Injury or illness
Strained Left Shoulder s Lifting bag of seltzer water
Object or substance involved
bag of seltzer water
Summary line
EE was picking up a customer order out of the cabinet EE picked up a bag and felt a pop in her left
Employee and industry
- 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)
- 154
- Hours worked at this establishment (2025 total)
- 179,795
- EIN
- 561390087
- Establishment ID
- 1522365
- Employer case #
- 13462
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 11:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-03-02
More injuries at 00179 Jetton Village
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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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