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 PT 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
- Customer Service Counter
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking
What happened
Associate was helping customers at the CS counter
Injury or illness
Bruise Contusion Concussion Head Injury Fracture Chest Incl Ribs Sternum Soft Tissue Skull
Object or substance involved
Mat Non Carpeted
Summary line
Concussion fractured rib left side assoc fell hit after tripping
Employee and industry
- Job description
- PT 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 #
- EV20248807
When (timing detail)
- Date of incident
- Shift started
- 09:45
- Time of incident
- 12:42
- 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)
More injuries in FL
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.