WINSTON SALEM, NC ·
OSHA Injury Report: 00216 CLOVERDALE
Injury · Job transfer or restriction
At a glance
On , an injury at 00216 CLOVERDALE in 2281 CLOVERDALE AVE, WINSTON SALEM, NC 27103 resulted in job transfer or restriction. Employee was clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- 00216 CLOVERDALE
- Parent company
- Harris Teeter Supermarkets, Inc. CLOVERDALE
- Street
- 2281 CLOVERDALE AVE
- City
- WINSTON SALEM
- State
- NC
- ZIP
- 27103
- On-site location
- RECEIVING DEPT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
STACKING A PALLET
What happened
EE WAS LIFTING PLASTIC PALLET TO PUT ON STACK PALLET SLIPPED AND HIT RIGHT FOREARM SWELLING TO FOREARM
Injury or illness
Inflamed Right Forearm Struck by object PLASTIC PALLET
Object or substance involved
PLASTIC PALLET
Summary line
EE WAS LIFTING PLASTIC PALLET TO PUT ON STACK PALLET SLIPPED AND HIT RIGHT FOREARM SWELLING TO FOR
Employee and industry
- Job description
- CLERK
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 103
- Hours worked at this establishment (2025 total)
- 127,229
- EIN
- 561390087
- Establishment ID
- 1522378
- Employer case #
- 13350
When (timing detail)
- Date of incident
- Shift started
- 09:27
- Time of incident
- 13:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-03-02
More injuries in this industry (NAICS 445110)
More injuries in NC
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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