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MONTPELIER, VT —

OSHA Injury Report: NAI-0033-0033-00121 FAC-00121-MONTPELIER-VT

Injury · Other recordable case

At a glance

On , an injury at NAI-0033-0033-00121 FAC-00121-MONTPELIER-VT in 2 MAIN ST., MONTPELIER, VT 05602 resulted in other recordable case. Employee was clerk rd Perso in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0033-0033-00121 FAC-00121-MONTPELIER-VT
Parent company
Shaw's Supermarkets, Inc
Street
2 MAIN ST.
City
MONTPELIER
State
VT
ZIP
05602
On-site location
FRONT END

What was the outcome?

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

Before the incident

SITTING IN A CHAIR

What happened

Associate fell out of chair fell to ground and hit her head. No fault of the chair.

Injury or illness

Strained Neck Fall COIN MACHINE

Object or substance involved

COIN MACHINE

Summary line

Associate fell out of chair fell to ground and hit her head. No fault of the chair.

Employee and industry

Job description
Clerk rd Perso
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
70
Total hours worked
93873
EIN
41123420
Establishment ID
1141694
Employer case #
74727

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
8:45:00.000
Submitted
29FEB24:01:03:00

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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.