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WATERBURY, VT —

OSHA Injury Report: NAI-0033-0033-00649 FAC-00649-WATERBURY-VT

Injury · Days away from work

At a glance

On , an injury at NAI-0033-0033-00649 FAC-00649-WATERBURY-VT in 820 WATERBURY STOWE ROAD, WATERBURY, VT 5676 resulted in days away from work. Employee was mgr Asst Dept in supermarkets and Other Grocery except Convenience Stores.

Where did this happen?

Establishment
NAI-0033-0033-00649 FAC-00649-WATERBURY-VT
Parent company
Shaws Supermarkets Inc
Street
820 WATERBURY STOWE ROAD
City
WATERBURY
State
VT
ZIP
5676
On-site location
RECEIVING

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
6

Before the incident

BRINGING A LARGE OUTDOOR FLORAL RACK OUT THE

What happened

Receiver was bringing a large outdoor floral rack out the back door He was walking backwards power jack pinned his foot between the jack and dunnage stacked outside

Injury or illness

Crushed Left Foot Caught in under or between Power jack

Object or substance involved

Power jack

Summary line

Receiver was bringing a large outdoor floral rack out the back door He was walking backwards power jack pinned his foot between the jack and dunnage stacked outside

Employee and industry

Job description
Mgr Asst Dept
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
445110 — Supermarkets and Other Grocery except Convenience Stores
NAICS vintage
2022
Avg employees
109
Total hours worked
133756
EIN
41123420
Establishment ID
1141699
Employer case #
82454

When (timing detail)

Date of incident
Shift started
5:00
Time of incident
8:30
Filing year
2024
Submitted
25FEB2025:01:58:00

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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.