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BERLIN, VT —

OSHA Injury Report: NAI-0033-0033-00616 FAC-00616-BERLIN-VT

Injury · Days away from work

At a glance

On , an injury at NAI-0033-0033-00616 FAC-00616-BERLIN-VT in 160 PAINE TURNPIKE NORTH, BERLIN, VT 05602 resulted in days away from work. Employee was night Crew Supe in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0033-0033-00616 FAC-00616-BERLIN-VT
Parent company
Shaw's Supermarkets, Inc
Street
160 PAINE TURNPIKE NORTH
City
BERLIN
State
VT
ZIP
05602
On-site location
FRONT END

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
6
Days restricted or transferred
23

Before the incident

PALLET LOAD BREAKDOWN SORT

What happened

Ee Alleges 3 Nights Ago He Was Bending Down To Pick Up A 10lb Box Off A Pallet When He Began To Have Pain In His Lower R Back And Hip.

Injury or illness

Sprained Back Carrying BOX

Object or substance involved

BOX

Summary line

Ee Alleges 3 Nights Ago He Was Bending Down To Pick Up A 10lb Box Off A Pallet When He Began To Have Pain In His Lower R Back And Hip.

Employee and industry

Job description
Night Crew Supe
SOC code
9999 — Uncoded
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
147
Total hours worked
165784
EIN
41123420
Establishment ID
1141695
Employer case #
80017

When (timing detail)

Date of incident
Shift started
22:00:00.000
Time of incident
23:30:00.000
Submitted
21FEB24:00:38:00

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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.