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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Caledonia, MI —

OSHA Injury Report: 1577 D&W -Caledonia, MI PREVO'S #38-3345860

Injury · Other recordable case

At a glance

On , an injury at 1577 D&W -Caledonia, MI PREVO'S #38-3345860 in 9375 Cherry Valley Av SE, Caledonia, MI 49316 resulted in other recordable case. Employee was cust Serv Manager in supermarkets and Other Grocery except Convenience Stores.

Where did this happen?

Establishment
1577 D&W -Caledonia, MI PREVO'S #38-3345860
Parent company
SpartanNash
Street
9375 Cherry Valley Av SE
City
Caledonia
State
MI
ZIP
49316
On-site location
Front end foyerentry

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Associate was exiting the store

What happened

[REDACTED] was exiting at the South exit and she tripped over a ripple in the rug Her left foot got caught on the rug She fell into the sliding glass doors had a small cut on her forehead and had a pretty good size bump on her head

Injury or illness

Head

Object or substance involved

Trip and Fall on rug

Summary line

[REDACTED] was exiting at the [REDACTED] exit and she tripped over a ripple in the rug Her left foot got caught on the rug She fell into the sliding glass doors Head

Employee and industry

Job description
Cust Serv Manager
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
103
Total hours worked
124731
EIN
380593940
Establishment ID
1463724
Employer case #
25000545

When (timing detail)

Date of incident
Time of incident
16:20
Filing year
2025
Submitted
11FEB26:17:02:00

More injuries at 1577 D&W -Caledonia, MI PREVO'S #38-3345860

View 1577 D&W -Caledonia, MI PREVO'S #38-3345860's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.