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MIDLAND PARK, NJ —

OSHA Injury Report: NAI-0034-0034-01054 FAC-01054-MIDLAND PARK-NJ

Other illness · Other recordable case

At a glance

On , an other illness at NAI-0034-0034-01054 FAC-01054-MIDLAND PARK-NJ in 136 LAKE AVENUE, MIDLAND PARK, NJ 07432 resulted in other recordable case. Employee was cashier Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0034-0034-01054 FAC-01054-MIDLAND PARK-NJ
Parent company
Acme Markets, Inc
Street
136 LAKE AVENUE
City
MIDLAND PARK
State
NJ
ZIP
07432
On-site location
BACKROOM

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Other illness (code 6)

Before the incident

PERFORMING NORMAL JOB DUTIES

What happened

unknown associate hurt right shoulder does not know when it occurred or even if it occurred at work. He had surgey in [REDACTED]. He called blue cross blue shield and they said it was declined. That it had to be reported as WORKER Comp.

Injury or illness

Rupture Right Shoulder(s) Repetitive motion BODY MOVEMENT

Object or substance involved

BODY MOVEMENT

Summary line

unknown associate hurt right shoulder does not know when it occurred or even if it occurred at work. He had surgey in [REDACTED]. He called blue cross blue shield and they said it was declined. That it had to be reported as WORKER Comp.

Employee and industry

Job description
Cashier Clerk
SOC code
41-2011 — Cashiers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
106
Total hours worked
143097
EIN
870440072
Establishment ID
1140001
Employer case #
77945

When (timing detail)

Date of incident
Shift started
17:00:00.000
Time of incident
12:00:00.000
Submitted
20FEB24:22:45:00

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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.