Safety Incidents OSHA Severe Injury Reports · 2015–2025
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OSHA Injury Report: NAI-0034-0034-02632 FAC-02632-PLEASANT VALLEY-NY

Injury · Days away from work

On , an injury at NAI-0034-0034-02632 FAC-02632-PLEASANT VALLEY-NY in 13 NORTH AVENUE, PLEASANT VALLEY, NY 12569 resulted in days away from work. Employee was dairy Superviso in supermarkets and Other Grocery (except Convenience) Stores.

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Parent company
Acme Markets, Inc
Street
13 NORTH AVENUE
City
PLEASANT VALLEY
State
NY
ZIP
12569
On-site location
GROCERY WORKS
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3

PALLET LOAD BREAKDOWN SORT

[REDACTED] dairy manager fell backwards over the pallet [REDACTED] landing hard on his back.

Sprained Posterior Upper back Fall PALLET JACK

PALLET JACK

[REDACTED] dairy manager fell backwards over the pallet [REDACTED] landing hard on his back.

Job description
Dairy Superviso
SOC code
41-1011: First-Line Supervisors of Retail Sales Workers
NAICS code
445110: Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Employees at this establishment (2023 average)
75
Hours worked at this establishment (2023 total)
98,600
EIN
870440072
Establishment ID
1140086
Employer case #
77915
Date of incident
Shift started
08:40
Time of incident
10:00
Filing year
2023
Submitted to OSHA
2024-02-27

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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