Holland, MI —
OSHA Injury Report: 122 FAMILY FARE - Holland MI FF
Injury · Other recordable case
At a glance
On , an injury at 122 FAMILY FARE - Holland MI FF in 993 Butternut Dr, Holland, MI 49424 resulted in other recordable case. Employee was cashier in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- 122 FAMILY FARE - Holland MI FF
- Parent company
- SpartanNash
- Street
- 993 Butternut Dr
- City
- Holland
- State
- MI
- ZIP
- 49424
- On-site location
- Reverse Vending
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking out of reverse vending backroom
What happened
Caught foot on Door causing her to fall
Injury or illness
Contusion to left knee face right side and lip laceration
Object or substance involved
Floor
Summary line
Hip contusion facial bruising lip laceration
Employee and industry
- Job description
- Cashier
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 127
- Total hours worked
- 130078
- EIN
- 380593940
- Establishment ID
- 1279757
- Employer case #
- WC20240128
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 6:25
- Filing year
- 2024
- Submitted
- 03FEB2025:14:35:00
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.