WEST LEBANON, NH ·
OSHA Injury Report: NAI-0033-0033-04555 FAC-04555-WEST LEBANON-NH
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at NAI-0033-0033-04555 FAC-04555-WEST LEBANON-NH in 10 BENNING DRIVE, WEST LEBANON, NH 03784 resulted in days away from work. Employee was store Director in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-04555 FAC-04555-WEST LEBANON-NH
- Parent company
- Shaw's Supermarkets, Inc
- Street
- 10 BENNING DRIVE
- City
- WEST LEBANON
- State
- NH
- ZIP
- 03784
- On-site location
- FRONT END
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 JOB DUTIES
What happened
Tested Positive for COVID - 19
Injury or illness
COVID-19 Respiratory system Pandemic COVID 19
Object or substance involved
COVID 19
Summary line
Tested Positive for COVID - 19
Employee and industry
- Job description
- Store Director
- 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)
- 80
- Hours worked at this establishment (2023 total)
- 108,474
- EIN
- 41123420
- Establishment ID
- 1141645
- Employer case #
- 74534
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 12:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at NAI-0033-0033-04555 Fac-04555-West Lebanon-Nh
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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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