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 produce 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
- Produce Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 74
Before the incident
Walking
What happened
Washing hands
Injury or illness
Other Strain Ankle Left Foot Left
Object or substance involved
Food
Summary line
Left ankle strain left foot pain assoc slipped on watermelon on floor
Employee and industry
- Job description
- Produce Clerk
- SOC code
- 53-7062: Laborers and Freight, Stock, and Material Movers, Hand
- 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 #
- EV20248737
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 07:25
- 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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