MIDDLEBURY, VT ·
OSHA Injury Report: NAI-0033-0033-01219 FAC-01219-MIDDLEBURY-VT
Injury · Other recordable case
At a glance
On , an injury at NAI-0033-0033-01219 FAC-01219-MIDDLEBURY-VT in 8 WASHINGTON ST., MIDDLEBURY, VT 05753 resulted in other recordable case. 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PRODUCT TRANSFER MATERIAL HANDLING
What happened
EE was walking into the deli and tripped on the carpet that is laying across the flooring transition. She fell and hit her face
Injury or illness
Fracture Mouth Fall FLOOR
Object or substance involved
FLOOR
Summary line
EE was walking into the deli and tripped on the carpet that is laying across the flooring transition. She fell and hit her face
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
- Employees at this establishment (2023 average)
- 72
- Hours worked at this establishment (2023 total)
- 101,729
- EIN
- 41123420
- Establishment ID
- 1141702
- Employer case #
- 78629
When (timing detail)
- Date of incident
- Shift started
- 06:52
- Time of incident
- 10:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at NAI-0033-0033-01219 Fac-01219-Middlebury-Vt
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More injuries in this industry (NAICS 445110)
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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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