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BEVERLY, MA —

OSHA Injury Report: NAI-0033-0033-04496 FAC-04496-BEVERLY-MA

Injury · Other recordable case

At a glance

On , an injury at NAI-0033-0033-04496 FAC-04496-BEVERLY-MA in 71 DODGE STREET, BEVERLY, MA 01915 resulted in other recordable case. Employee was night Stocker in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0033-0033-04496 FAC-04496-BEVERLY-MA
Parent company
Shaw's Supermarkets, Inc
Street
71 DODGE STREET
City
BEVERLY
State
MA
ZIP
01915
On-site location
FRONT END

What was the outcome?

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

Before the incident

BREAKING DOWN A PALLET

What happened

[REDACTED] claims while breaking down a pallet of juice he lifted a case and his left arm snapped up and he dropped the product. Caused pain in your left shoulder.

Injury or illness

Sprained Left Shoulder(s) Lifting CASE

Object or substance involved

CASE

Summary line

[REDACTED] claims while breaking down a pallet of juice he lifted a case and his left arm snapped up and he dropped the product. Caused pain in your left shoulder.

Employee and industry

Job description
Night Stocker
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
159
Total hours worked
178477
EIN
41123420
Establishment ID
1141538
Employer case #
77350

When (timing detail)

Date of incident
Shift started
22:00:00.000
Time of incident
0:30:00.000
Submitted
21FEB24:00:39:00

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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.