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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Shelburne, VT —

OSHA Injury Report: Tractor Supply Company Store 1490

Injury · Other recordable case

At a glance

On , an injury at Tractor Supply Company Store 1490 in 3708 Shelburne Rd, Shelburne, VT 05482 resulted in other recordable case. Employee was store Manager in general Merchandise Stores.

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Where did this happen?

Establishment
Tractor Supply Company Store 1490
Parent company
Tractor Supply Company
Street
3708 Shelburne Rd
City
Shelburne
State
VT
ZIP
05482
On-site location
Parking Lot

What was the outcome?

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

Before the incident

Using A Crowbar To Assemble A Trailer

What happened

The Ee Was Using A Crowbar To Assemble A Trailer In The Parking Lot When It Slipped And Struck His Face. As A Result He Broke His 2 Front Teeth And Has A Deep Laceration To His Jaw.

Injury or illness

Multiple Physical Injuries Only-Multiple Body Parts (Including Body Systems & Body Parts)

Object or substance involved

Store Equipment

Summary line

TM Struck or Against Store Equipment in the Parking Lot causing Multiple Physical Injuries Only of the Multiple Body Parts

Employee and industry

Job description
Store Manager
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
444240 — General Merchandise Stores
NAICS vintage
2022
Avg employees
17
Total hours worked
18498
EIN
884210417
Establishment ID
741925
Employer case #
0041690757

When (timing detail)

Date of incident
Shift started
7:00:00.000
Time of incident
17:05:00.000
Filing year
2023
Submitted
04MAR24:04:35:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.