BROCKTON, MA —
OSHA Injury Report: NAI-0033-0033-01429 FAC-01429-BROCKTON-MA
Injury · Days away from work
At a glance
On , an injury at NAI-0033-0033-01429 FAC-01429-BROCKTON-MA in 641 BELMONT STREET, BROCKTON, MA 02301 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- NAI-0033-0033-01429 FAC-01429-BROCKTON-MA
- Parent company
- Shaw's Supermarkets, Inc
- Street
- 641 BELMONT STREET
- City
- BROCKTON
- State
- MA
- ZIP
- 02301
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
DOING FRONT END RETURNS
What happened
While doing front end returns [REDACTED] slipped and fell in a puddle of water in aisle 20.
Injury or illness
Sprained Posterior Upper back Fall FLOOR
Object or substance involved
FLOOR
Summary line
While doing front end returns [REDACTED] slipped and fell in a puddle of water in aisle 20.
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 130
- Total hours worked
- 185788
- EIN
- 41123420
- Establishment ID
- 1141579
- Employer case #
- 79492
When (timing detail)
- Date of incident
- Shift started
- 15:00:00.000
- Time of incident
- 21:20:00.000
- Submitted
- 21FEB24:00:38:00
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NAI-0033-0033-01429 FAC-01429-BROCKTON-MA
BROCKTON, MA—
NAI-0033-0033-01429 FAC-01429-BROCKTON-MA
BROCKTON, MA—
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BROCKTON, MA—
NAI-0033-0033-01429 FAC-01429-BROCKTON-MA
View NAI-0033-0033-01429 FAC-01429-BROCKTON-MA's full OSHA safety record →
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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.