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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: CICERO #199

Injury · Other recordable case

On , an injury at CICERO #199 in CICERO, NY 13039 resulted in other recordable case. Employee was cOMGR VOL in grocery Stores.

Establishment
CICERO #199
Parent company
GOLUB CORPORATION
Street
5701 EAST CIRCLE DRIVE SUITE 100
City
CICERO
State
NY
ZIP
13039
On-site location
SALES FLOOR
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

FILLING THE POTATO CHIPS IN AISLE 9

HE WAS STANDING ON THE YELLOW STEP LADDER FILLING THE POTATO CHIPS

FELL FROM LADDERSCAFFOLDING

YELLOW STEP LADDER

FELL OFF OF LADDER INJURING RT SHOULDER AND UPPER BACKLEFT ARM

Job description
COMGR VOL
SOC code
9999 — Uncoded
NAICS code
445110 — Grocery Stores
NAICS vintage
2022
Avg employees
129
Total hours worked
168833
EIN
140724820
Establishment ID
188327
Employer case #
2400258
Date of incident
Shift started
12:00:00.000
Time of incident
12:45:00.000
Submitted
15FEB24:17:00:00

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.