THE VILLAGES, FL ·
OSHA Injury Report: Store 0004
Injury · Other recordable case
At a glance
On , an injury at Store 0004 in 8780 SE 165TH MULBERRY LANE, THE VILLAGES, FL 32162 resulted in other recordable case. Employee was customer Service Staff in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0004
- Parent company
- Publix Super Markets Inc
- Street
- 8780 SE 165TH MULBERRY LANE
- City
- THE VILLAGES
- State
- FL
- ZIP
- 32162
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Cart Return
What happened
Cart return
Injury or illness
Bruise Contusion Lower Leg
Object or substance involved
Motor Vehicle Highway
Summary line
Left tibia contusion assoc was hit by a vehicle
Employee and industry
- Job description
- Customer Service Staff
- SOC code
- 43-4051: Customer Service Representatives
- NAICS code
- 445110: Supermarkets and other grocery except convenience stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 191
- Hours worked at this establishment (2024 total)
- 248,864
- EIN
- 590324412
- Establishment ID
- 697379
- Employer case #
- EV20248571
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 18:37
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0004
View Store 0004's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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