ROCKVILLE, MD ·
OSHA Injury Report: NAI-0035-0035-01668 FAC-01668-ROCKVILLE-MD
Injury · Other recordable case
At a glance
On , an injury at NAI-0035-0035-01668 FAC-01668-ROCKVILLE-MD in 5510 NORBECK RD, ROCKVILLE, MD 20853 resulted in other recordable case. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0035-0035-01668 FAC-01668-ROCKVILLE-MD
- Parent company
- NAI Saturn Eastern LLC
- Street
- 5510 NORBECK RD
- City
- ROCKVILLE
- State
- MD
- ZIP
- 20853
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
NORMAL JOB DUTIES
What happened
Incident is related to the last claim for [REDACTED] fainted when he saw the blood after his cut and fell on [REDACTED] causing her to fall and hit her head on the seafood door she hurt her left hip and back of head
Injury or illness
Fainted Brain Fall SYNCOPE
Object or substance involved
SYNCOPE
Summary line
Incident is related to the last claim for [REDACTED] fainted when he saw the blood after his cut and fell on [REDACTED] causing her to fall and hit her head on the seafood door she hurt her left hip and back of head
Employee and industry
- Job description
- Food 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 (2023 average)
- 140
- Hours worked at this establishment (2023 total)
- 176,366
- EIN
- 364793024
- Establishment ID
- 1140902
- Employer case #
- 78973
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 12:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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