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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: NAI-0033-0033-00649 FAC-00649-WATERBURY-VT

Injury · Job transfer or restriction

On , an injury at NAI-0033-0033-00649 FAC-00649-WATERBURY-VT in WATERBURY, VT 05676 resulted in job transfer or restriction. Employee was assistant Front in supermarkets and Other Grocery (except Convenience) Stores.

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
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
48

RUNNING IN THE PARKING LOT AND TRIP ON A BOT

The employee was running in the parking lot and trip on a bottle. He fell on the pavement and broke his right arm.

Fracture Right Elbow Fall FLOOR

FLOOR

The employee was running in the parking lot and trip on a bottle. He fell on the pavement and broke his right arm.

Job description
Assistant Front
SOC code
41-2011 — Cashiers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
94
Total hours worked
130034
EIN
41123420
Establishment ID
1141699
Employer case #
78769
Date of incident
Shift started
13:00:00.000
Time of incident
19:15:00.000
Submitted
21FEB24:00:38:00

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.