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Safety Incidents OSHA Severe Injury Reports · 2015–2025

FAIR HAVEN, VT —

OSHA Injury Report: NAI-0033-0033-01324 FAC-01324-FAIR HAVEN-VT

Injury · Other recordable case

At a glance

On , an injury at NAI-0033-0033-01324 FAC-01324-FAIR HAVEN-VT in 195 OLD RT 22A, FAIR HAVEN, VT 5743 resulted in other recordable case. Employee was mgr Asst Dept in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0033-0033-01324 FAC-01324-FAIR HAVEN-VT
Parent company
Shaws Supermarkets Inc
Street
195 OLD RT 22A
City
FAIR HAVEN
State
VT
ZIP
5743
On-site location
RECEIVING

What was the outcome?

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

Before the incident

RECEIVING UNLOADING TRUCK

What happened

Employee slipped and fell while moving pallets in perishable trailer

Injury or illness

Sprained Left Upper back Fall Floor

Object or substance involved

Floor

Summary line

Employee slipped and fell while moving pallets in perishable trailer

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
98
Total hours worked
120881
EIN
041123420
Establishment ID
1141700
Employer case #
86664

When (timing detail)

Date of incident
Shift started
8:00
Time of incident
12:40
Filing year
2025
Submitted
21FEB26:02:15:00

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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.