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PLEASANT VALLEY, NY —

OSHA Injury Report: NAI-0034-0034-02632 FAC-02632-PLEASANT VALLEY-NY

Injury · Days away from work

At a glance

On , an injury at NAI-0034-0034-02632 FAC-02632-PLEASANT VALLEY-NY in 13 NORTH AVENUE, PLEASANT VALLEY, NY 12569 resulted in days away from work. Employee was dairy Superviso in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0034-0034-02632 FAC-02632-PLEASANT VALLEY-NY
Parent company
Acme Markets, Inc
Street
13 NORTH AVENUE
City
PLEASANT VALLEY
State
NY
ZIP
12569
On-site location
GROCERY WORKS

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3

Before the incident

PALLET LOAD BREAKDOWN SORT

What happened

[REDACTED] dairy manager fell backwards over the pallet [REDACTED] landing hard on his back.

Injury or illness

Sprained Posterior Upper back Fall PALLET JACK

Object or substance involved

PALLET JACK

Summary line

[REDACTED] dairy manager fell backwards over the pallet [REDACTED] landing hard on his back.

Employee and industry

Job description
Dairy Superviso
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
75
Total hours worked
98600
EIN
870440072
Establishment ID
1140086
Employer case #
77915

When (timing detail)

Date of incident
Shift started
8:40:00.000
Time of incident
10:00:00.000
Submitted
27FEB24:20:40:00

More injuries in this industry (NAICS 445110)

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WM 4464

ALBUQUERQUE, NM—

WM 3385

More injuries in NY

KINGSTON, NY—

WM 6201

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.