MIDDLEBURY, VT —
OSHA Injury Report: NAI-0033-0033-01219 FAC-01219-MIDDLEBURY-VT
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at NAI-0033-0033-01219 FAC-01219-MIDDLEBURY-VT in MIDDLEBURY, VT 05753 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-01219 FAC-01219-MIDDLEBURY-VT
- Parent company
- Shaw's Supermarkets, Inc
- Street
- 8 WASHINGTON ST.
- City
- MIDDLEBURY
- State
- VT
- ZIP
- 05753
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Respiratory condition (code 3)
- Days away from work
- 5
Before the incident
NORMAL DUTIES
What happened
Tested Positive for COVID - 19
Injury or illness
COVID-19 Respiratory system Pandemic COVID19
Object or substance involved
COVID19
Summary line
Tested Positive for COVID - 19
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 72
- Total hours worked
- 101729
- EIN
- 41123420
- Establishment ID
- 1141702
- Employer case #
- 76067
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 29FEB24:01:03:00
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.