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WAITSFIELD, VT —

OSHA Injury Report: NAI-0033-0033-00326 FAC-00326-WAITSFIELD-VT

Injury · Job transfer or restriction

At a glance

On , an injury at NAI-0033-0033-00326 FAC-00326-WAITSFIELD-VT in 27 MAD RIVER CANOE ROAD, WAITSFIELD, VT 05673 resulted in job transfer or restriction. Employee was grocery Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0033-0033-00326 FAC-00326-WAITSFIELD-VT
Parent company
Shaw's Supermarkets, Inc
Street
27 MAD RIVER CANOE ROAD
City
WAITSFIELD
State
VT
ZIP
05673
On-site location
DAIRY

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
25

Before the incident

DOING DAIRY CODE CHECKS

What happened

Employee was on the floor on his knees doing dairy code checks. When he stood up he felt a pull in his lower left abdomen. He believes he has a hernea

Injury or illness

Hernia Abdomen Lifting FLOOR

Object or substance involved

FLOOR

Summary line

Employee was on the floor on his knees doing dairy code checks. When he stood up he felt a pull in his lower left abdomen. He believes he has a hernea

Employee and industry

Job description
Grocery Clerk
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
35
Total hours worked
45178
EIN
41123420
Establishment ID
1141698
Employer case #
78196

When (timing detail)

Date of incident
Shift started
11:00:00.000
Time of incident
14:00:00.000
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.