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HARWICH PORT, MA —

OSHA Injury Report: NAI-0033-0033-04596 FAC-04596-HARWICH PORT-MA

Injury · Days away from work

At a glance

On , an injury at NAI-0033-0033-04596 FAC-04596-HARWICH PORT-MA in 18 SISSON ROAD, HARWICH PORT, MA 02646 resulted in days away from work. Employee was mgr Asst Dept in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0033-0033-04596 FAC-04596-HARWICH PORT-MA
Parent company
Shaw's Supermarkets, Inc
Street
18 SISSON ROAD
City
HARWICH PORT
State
MA
ZIP
02646
On-site location
FRONT END

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
5

Before the incident

PALLET LOAD BREAKDOWN SORT

What happened

lifting case of plums injured left shoulder

Injury or illness

Sprained Left Shoulder(s) Lifting CASE

Object or substance involved

CASE

Summary line

lifting case of plums injured left shoulder

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
159
Total hours worked
209514
EIN
41123420
Establishment ID
1141602
Employer case #
78691

When (timing detail)

Date of incident
Shift started
6:10:00.000
Time of incident
7:50:00.000
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.