Jacksonville, FL —
OSHA Injury Report: 4875 BELFORT ROAD
Injury · Days away from work
At a glance
On , an injury at 4875 BELFORT ROAD in Jacksonville, FL 32256 resulted in days away from work. Employee was customer Service Representative Florida.
Where did this happen?
- Establishment
- 4875 BELFORT ROAD
- Parent company
- NORTHWELL
- Street
- 4875 BELFORT ROAD
- City
- Jacksonville
- State
- FL
- ZIP
- 32256
- On-site location
- 4875 Belfort Road
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 61
Before the incident
EE WAS IN THE BREAKROOM TO GET SOME ICE WHEN SHE SLIPPED AND FELL DUE TO A WET FLOORWHICH CAUSED PAIN ON BOTH KNEES AND R HIP. ALSO DUE FALLING HARD ON HER KNEES EE FELTSOMETHING MOVED INSIDE HER KNEES
What happened
EE WAS IN THE BREAKROOM TO GET SOME ICE WHEN SHE SLIPPED AND FELL DUE TO A WET FLOORWHICH CAUSED PAIN ON BOTH KNEES AND R HIP. ALSO DUE FALLING HARD ON HER KNEES EE FELTSOMETHING MOVED INSIDE HER KNEES
Injury or illness
Pain
Object or substance involved
floor
Summary line
Team member was in the breakroom to get ice slipped and fell due to wet floor both knees and R hip pain
Employee and industry
- Job description
- Customer Service Representative Florida
- SOC code
- 9999 — Uncoded
- NAICS code
- 622110
- NAICS vintage
- 2012
- Avg employees
- 268
- Total hours worked
- 411090
- EIN
- 813121231
- Establishment ID
- 1020953
- Employer case #
- RM20240148
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Time of incident
- 12:50
- Filing year
- 2024
- Submitted
- 11FEB2025:15:43:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.