BERLIN, VT —
OSHA Injury Report: NAI-0033-0033-00616 FAC-00616-BERLIN-VT
Injury · Days away from work
At a glance
On , an injury at NAI-0033-0033-00616 FAC-00616-BERLIN-VT in BERLIN, VT 05602 resulted in days away from work. Employee was customer Servic in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-00616 FAC-00616-BERLIN-VT
- Parent company
- Shaw's Supermarkets, Inc
- Street
- 160 PAINE TURNPIKE NORTH
- City
- BERLIN
- State
- VT
- ZIP
- 05602
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 163
- Days restricted or transferred
- 13
Before the incident
WALKING INTO THE LA CARTE AREA SLIPPED AND F
What happened
Employee was walking into the La Carte area slipped and fell on her right elbow.
Injury or illness
Sprained Right Elbow Fall FLOOR
Object or substance involved
FLOOR
Summary line
Employee was walking into the La Carte area slipped and fell on her right elbow.
Employee and industry
- Job description
- Customer Servic
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 147
- Total hours worked
- 165784
- EIN
- 41123420
- Establishment ID
- 1141695
- Employer case #
- 77616
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 22:00:00.000
- Submitted
- 21FEB24:00:38:00
Source
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.