POULTNEY, VT —
OSHA Injury Report: NAI-0033-0033-01323 FAC-01323-POULTNEY-VT
Injury · Days away from work
At a glance
On , an injury at NAI-0033-0033-01323 FAC-01323-POULTNEY-VT in POULTNEY, VT 05764 resulted in days away from work. Employee was cashier Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-01323 FAC-01323-POULTNEY-VT
- Parent company
- Shaw's Supermarkets, Inc
- Street
- 55 DEPOT STREET
- City
- POULTNEY
- State
- VT
- ZIP
- 05764
- On-site location
- BREAKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 8
Before the incident
EEHIT HER HEAD ON A SHELF IN THE BREAKR
What happened
unknown received a workman 's comp. authorization letter with no knowledge of an incident
Injury or illness
Concussion Head Struck against SHELF
Object or substance involved
SHELF
Summary line
unknown received a workman 's comp. authorization letter with no knowledge of an incident
Employee and industry
- Job description
- Cashier Clerk
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 51
- Total hours worked
- 58072
- EIN
- 41123420
- Establishment ID
- 1141703
- Employer case #
- 76164
When (timing detail)
- Date of incident
- Shift started
- 14:32:00.000
- Time of incident
- 17:30:00.000
- 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.