THE VILLAGES, FL ·
OSHA Injury Report: Store 0004
Injury · Job transfer or restriction
At a glance
On , an injury at Store 0004 in 8780 SE 165TH MULBERRY LANE, THE VILLAGES, FL 32162 resulted in job transfer or restriction. Employee was bakery Clerk 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
- Bakery Sales Floor
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
Moving Product or Equipment
What happened
Packaging product
Injury or illness
Bruise Contusion Strain Hand Left Shoulder Right
Object or substance involved
Working Walking Surface
Summary line
Right shoulder strain left hand contusion assoc was walking out of the department and slipped and fell
Employee and industry
- Job description
- Bakery Clerk
- SOC code
- 51-3011: Bakers
- 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 #
- EV20248667
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 13:15
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0004
View Store 0004's full OSHA safety record →
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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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