JACKSONVILLE, FL ·
OSHA Injury Report: Store 0631
Injury · Other recordable case
At a glance
On , an injury at Store 0631 in 4495 ROOSEVELT BLVD STE 103, JACKSONVILLE, FL 322103390 resulted in other recordable case. Employee was deli Clerk 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
- Deli Sales Floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Floor Maintenance
What happened
Helping a customer find olives
Injury or illness
Bruise Contusion Face
Object or substance involved
Service Case
Summary line
Head contusion assoc was struck by the service case
Employee and industry
- Job description
- 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)
- 244
- Hours worked at this establishment (2024 total)
- 317,070
- EIN
- 590324412
- Establishment ID
- 697762
- Employer case #
- EV20248554
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 14:45
- 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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