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SUDBURY, MA —

OSHA Injury Report: NAI-0033-0033-02571 FAC-02571-SUDBURY-MA

Injury · Other recordable case

At a glance

On , an injury at NAI-0033-0033-02571 FAC-02571-SUDBURY-MA in 509 BOSTON POST ROAD, SUDBURY, MA 01776 resulted in other recordable case. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
NAI-0033-0033-02571 FAC-02571-SUDBURY-MA
Parent company
Shaw's Supermarkets, Inc
Street
509 BOSTON POST ROAD
City
SUDBURY
State
MA
ZIP
01776
On-site location
DELI

What was the outcome?

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

Before the incident

CLEANING - DELI SLICER

What happened

Cleaning deli slicer at end of shift when attempting to re assemble felt pain. Could not lift shoulder to reassemble. PIC needed to assist. Pain worsened took [REDACTED] and pain was relieved.

Injury or illness

Sprained Right Shoulder(s) Lifting SLICER

Object or substance involved

SLICER

Summary line

Cleaning deli slicer at end of shift when attempting to re assemble felt pain. Could not lift shoulder to reassemble. PIC needed to assist. Pain worsened took [REDACTED] and pain was relieved.

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
93
Total hours worked
100417
EIN
41123420
Establishment ID
1141534
Employer case #
77198

When (timing detail)

Date of incident
Shift started
13:00:00.000
Time of incident
20:00:00.000
Submitted
29FEB24:01:04:00

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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.