Ellsworth, ME —
OSHA Injury Report: 08123 - Store # 8123 Ellsworth
Injury · Other recordable case
At a glance
On , an injury at 08123 - Store # 8123 Ellsworth in Ellsworth, ME 04605 resulted in other recordable case. Employee was hannaford To Go Supervisor in grocery Stores.
Where did this happen?
- Establishment
- 08123 - Store # 8123 Ellsworth
- Parent company
- Hannaford
- Street
- 211 High Street
- City
- Ellsworth
- State
- ME
- ZIP
- 04605
- On-site location
- 624-FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Unknown
What happened
Claimant alleges (her husband called) after becoming very ill at work and leaving in an ambulance [REDACTED] appears to have had a brain aneurism.
Injury or illness
ALL OTHER CUMULATIVE INJURY NOC
Object or substance involved
Unknown
Summary line
ALL OTHER CUMULATIVE INJURY NOC BRAIN DOCKPLATE-Illness-Other
Employee and industry
- Job description
- Hannaford To Go Supervisor
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Grocery Stores
- NAICS vintage
- 2022
- Avg employees
- 202
- Total hours worked
- 233947
- EIN
- 10085930
- Establishment ID
- 1057641
- Employer case #
- 2023262904
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 8:00:00.000
- Submitted
- 03MAY24:18:32:00
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.