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FORT WORTH, TX —

OSHA Injury Report: ABS-0020-0021-04277 FAC-04277-FORT WORTH-TX

Respiratory condition · Days away from work

At a glance

On , a respiratory condition at ABS-0020-0021-04277 FAC-04277-FORT WORTH-TX in 3525 SYCAMORE SCHOOL RD, FORT WORTH, TX 76133 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
ABS-0020-0021-04277 FAC-04277-FORT WORTH-TX
Parent company
Albertson's LLC
Street
3525 SYCAMORE SCHOOL RD
City
FORT WORTH
State
TX
ZIP
76133
On-site location
DELI DEPARTMENT

What was the outcome?

Outcome
Days away from work (code 2)
Type
Respiratory condition (code 3)
Days away from work
5

Before the incident

NORMAL DUTIES

What happened

Tested Positive for COVID - 19

Injury or illness

COVID-19 Respiratory system Pandemic COVID-19

Object or substance involved

COVID-19

Summary line

Tested Positive for COVID - 19

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
75
Total hours worked
124028
EIN
820184434
Establishment ID
1140339
Employer case #
63806

When (timing detail)

Date of incident
Shift started
0:00:00.000
Time of incident
12:00:00.000
Submitted
28FEB24:17:51:00

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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.