WATERBURY, VT ·
OSHA Injury Report: NAI-0033-0033-00649 FAC-00649-WATERBURY-VT
Injury · Job transfer or restriction
At a glance
On , an injury at NAI-0033-0033-00649 FAC-00649-WATERBURY-VT in 820 WATERBURY STOWE ROAD, WATERBURY, VT 05676 resulted in job transfer or restriction. Employee was assistant Front in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-00649 FAC-00649-WATERBURY-VT
- Parent company
- Shaw's Supermarkets, Inc
- Street
- 820 WATERBURY STOWE ROAD
- City
- WATERBURY
- State
- VT
- ZIP
- 05676
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 48
Before the incident
RUNNING IN THE PARKING LOT AND TRIP ON A BOT
What happened
The employee was running in the parking lot and trip on a bottle. He fell on the pavement and broke his right arm.
Injury or illness
Fracture Right Elbow Fall FLOOR
Object or substance involved
FLOOR
Summary line
The employee was running in the parking lot and trip on a bottle. He fell on the pavement and broke his right arm.
Employee and industry
- Job description
- Assistant Front
- SOC code
- 41-2011: Cashiers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 94
- Hours worked at this establishment (2023 total)
- 130,034
- EIN
- 41123420
- Establishment ID
- 1141699
- Employer case #
- 78769
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 19:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
More injuries at NAI-0033-0033-00649 Fac-00649-Waterbury-Vt
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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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