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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: NAI-0033-0033-01323 FAC-01323-POULTNEY-VT

Injury · Days away from work

On , an injury at NAI-0033-0033-01323 FAC-01323-POULTNEY-VT in 55 DEPOT STREET, POULTNEY, VT 05764 resulted in days away from work. Employee was cashier Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Parent company
Shaw's Supermarkets, Inc
Street
55 DEPOT STREET
City
POULTNEY
State
VT
ZIP
05764
On-site location
BREAKROOM
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
8

EEHIT HER HEAD ON A SHELF IN THE BREAKR

unknown received a workman 's comp. authorization letter with no knowledge of an incident

Concussion Head Struck against SHELF

SHELF

unknown received a workman 's comp. authorization letter with no knowledge of an incident

Job description
Cashier Clerk
SOC code
41-2011 — Cashiers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
51
Total hours worked
58072
EIN
41123420
Establishment ID
1141703
Employer case #
76164
Date of incident
Shift started
14:32:00.000
Time of incident
17:30:00.000
Submitted
29FEB24:01:03:00

WM 4464

WM 3385

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.