BROCKTON, MA —
OSHA Injury Report: NAI-0033-0033-04407 FAC-04407-BROCKTON-MA
Injury · Days away from work
At a glance
On , an injury at NAI-0033-0033-04407 FAC-04407-BROCKTON-MA in BROCKTON, MA 02302 resulted in days away from work. Employee was mgr Asst Dept in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-04407 FAC-04407-BROCKTON-MA
- Parent company
- Shaw's Supermarkets, Inc
- Street
- 715 CRESCENT STREET
- City
- BROCKTON
- State
- MA
- ZIP
- 02302
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
CLEANING - CASE EQUIPMENT OR TOOLS
What happened
slipped on floor
Injury or illness
Bruised Right Elbow Fall FLOOR
Object or substance involved
FLOOR
Summary line
slipped on floor
Employee and industry
- Job description
- Mgr Asst Dept
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 140
- Total hours worked
- 177371
- EIN
- 41123420
- Establishment ID
- 1141580
- Employer case #
- 80406
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 19:30:00.000
- 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.