HENDERSONVILLE, TN ·
OSHA Injury Report: Store 0119
Injury · Other recordable case
At a glance
On , an injury at Store 0119 in 110 INDIAN LAKE BLVD, HENDERSONVILLE, TN 37075 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0119
- Parent company
- Publix Super Markets Inc
- Street
- 110 INDIAN LAKE BLVD
- City
- HENDERSONVILLE
- State
- TN
- ZIP
- 37075
- On-site location
- Deli Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Cleaning Sanitizing
What happened
Closing down deli traditional side
Injury or illness
Sprain Lower Back Area Incl Lumbar Lumbo Sacral Pelvis Shoulder Right
Object or substance involved
Ladder 2ft
Summary line
Right shoulder lumbar pelvis sprain assoc fell from ladder
Employee and industry
- Job description
- PT Deli Clerk
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Supermarkets and other grocery except convenience stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 156
- Hours worked at this establishment (2024 total)
- 182,434
- EIN
- 590324412
- Establishment ID
- 697431
- Employer case #
- EV20248478
When (timing detail)
- Date of incident
- Shift started
- 17:00
- Time of incident
- 21:15
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0119
View Store 0119'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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