JACKSONVILLE, FL ·
OSHA Injury Report: Store 0631
Injury · Job transfer or restriction
At a glance
On , an injury at Store 0631 in 4495 ROOSEVELT BLVD STE 103, JACKSONVILLE, FL 322103390 resulted in job transfer or restriction. Employee was bakery Manager in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0631
- Parent company
- Publix Super Markets Inc
- Street
- 4495 ROOSEVELT BLVD STE 103
- City
- JACKSONVILLE
- State
- FL
- ZIP
- 322103390
- On-site location
- Back Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 32
Before the incident
Walking
What happened
Walking out of the office
Injury or illness
Sprain Ankle Right
Object or substance involved
Bodily Motion
Summary line
Right ankle sprain assoc was walking and stepped wrong
Employee and industry
- Job description
- Bakery Manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and other grocery except convenience stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 244
- Hours worked at this establishment (2024 total)
- 317,070
- EIN
- 590324412
- Establishment ID
- 697762
- Employer case #
- EV20248530
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 09:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0631
View Store 0631'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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