DACULA, GA ·
OSHA Injury Report: Store 0569
Injury · Other recordable case
At a glance
On , an injury at Store 0569 in 2463 HAMILTON MILL PARKWAY, DACULA, GA 30019 resulted in other recordable case. Employee was customer Service Staff in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0569
- Parent company
- Publix Super Markets Inc
- Street
- 2463 HAMILTON MILL PARKWAY
- City
- DACULA
- State
- GA
- ZIP
- 30019
- On-site location
- Sidewalk
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 99
Before the incident
Cleaning General
What happened
Associate was blowing debris off sidewalk
Injury or illness
Sprain Shoulder Right
Object or substance involved
Bodily Motion
Summary line
Left shoulder Neck strain assoc was clearing sidewalks
Employee and industry
- Job description
- 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)
- 171
- Hours worked at this establishment (2024 total)
- 197,508
- EIN
- 590324412
- Establishment ID
- 697704
- Employer case #
- EV20248726
When (timing detail)
- Date of incident
- Shift started
- 05:30
- Time of incident
- 07:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0569
View Store 0569's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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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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