VILLA RICA, GA ·
OSHA Injury Report: Store 0145
Injury · Other recordable case
At a glance
On , an injury at Store 0145 in 2000 MIRROR LAKE BLVD, VILLA RICA, GA 30180 resulted in other recordable case. Employee was baker in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0145
- Parent company
- Publix Super Markets Inc
- Street
- 2000 MIRROR LAKE BLVD
- City
- VILLA RICA
- State
- GA
- ZIP
- 30180
- On-site location
- Bakery Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Cleaning Sanitizing
What happened
Cleaning the decorator area
Injury or illness
Bruise Contusion Knee Right Shoulder Left
Object or substance involved
Floor Drain
Summary line
Left shoulder right foot pain assoc was walking backwards and fell into floor drain and fell
Employee and industry
- Job description
- Baker
- SOC code
- 51-3011: Bakers
- NAICS code
- 445110: Supermarkets and other grocery except convenience stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 139
- Hours worked at this establishment (2024 total)
- 87,339
- EIN
- 590324412
- Establishment ID
- 697444
- Employer case #
- EV20248599
When (timing detail)
- Date of incident
- Shift started
- 14:01
- Time of incident
- 19:54
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0145
View Store 0145'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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