LILBURN, GA ·
OSHA Injury Report: Store 0564
Injury · Other recordable case
At a glance
On , an injury at Store 0564 in 4045 FIVE FORKS TRICKUM RD, LILBURN, GA 30047 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0564
- Parent company
- Publix Super Markets Inc
- Street
- 4045 FIVE FORKS TRICKUM RD
- City
- LILBURN
- State
- GA
- ZIP
- 30047
- 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
Slicing Meat Cheese
What happened
Slicing meat for customer
Injury or illness
Other Knee Left
Object or substance involved
Electrical Cord
Summary line
Left knee injury assoc tripped over cable
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)
- 168
- Hours worked at this establishment (2024 total)
- 221,642
- EIN
- 590324412
- Establishment ID
- 697699
- Employer case #
- EV20248517
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 11:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0564
View Store 0564'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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