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OSHA Injury Report: NAI-0033-0033-02536 FAC-02536-VERGENNES-VT

Injury · Days away from work

On , an injury at NAI-0033-0033-02536 FAC-02536-VERGENNES-VT in VERGENNES, VT 05491 resulted in days away from work. Employee was produce Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Establishment
NAI-0033-0033-02536 FAC-02536-VERGENNES-VT
Parent company
Shaw's Supermarkets, Inc
Street
115C MONKTON ROAD
City
VERGENNES
State
VT
ZIP
05491
On-site location
PRODUCE COOLER
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
6

WALKING

EE was grabbing pineapple from the produce cooler when she turned around started to walk back to the produce prep room when she fell onto the cement floor in the cooler. There was water on the floor from the brocolli

Sprained Right Knee Strained WET FLOOR

WET FLOOR

EE was grabbing pineapple from the produce cooler when she turned around started to walk back to the produce prep room when she fell onto the cement floor in the cooler. There was water on the floor from the brocolli

Job description
Produce Clerk
SOC code
53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
59
Total hours worked
75229
EIN
41123420
Establishment ID
1141691
Employer case #
80228
Date of incident
Shift started
8:30:00.000
Time of incident
11:30:00.000
Submitted
29FEB24:01:04:00

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.