Valparaiso, IN ·
OSHA Injury Report: 8750 Valpo. No. SVT
Injury · Other recordable case
At a glance
On , an injury at 8750 Valpo. No. SVT in 2800 North Calumet Avenue, Valparaiso, IN 46383 resulted in other recordable case. Employee was assitant manager in grocery stores.
Where did this happen?
- Establishment
- 8750 Valpo. No. SVT
- Parent company
- Indiana Grocery Group LLC
- Street
- 2800 North Calumet Avenue
- City
- Valparaiso
- State
- IN
- ZIP
- 46383
- On-site location
- receiving loading dock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
pulling product down the rceiving- loading dock toawards the dairy cooler
What happened
Went to load water when he fogot to bring the dock plate back up to the top causing him to fall 4 ft off the ledge bringing the water with him
Injury or illness
contusion of lower back and pelvis contustion of right and left knee
Object or substance involved
loading-receiving dock
Summary line
fell off edge of loading dock did not have the lift dock level fell 4 ft with 120 1 gallon water bottles. Fell on his right side hurting his right hip-lower back forehead rack fell on his lower legs causing abrasions to his right shin and left shin
Employee and industry
- Job description
- assitant manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Grocery stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 112
- Hours worked at this establishment (2023 total)
- 155,883
- EIN
- 821621364
- Establishment ID
- 953442
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 19:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at 8750 Valpo. No. SVT
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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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