ST JOHNS, FL ·
OSHA Injury Report: Store 0716
Injury · Other recordable case
At a glance
On , an injury at Store 0716 in 450 STATE RD 13 N STE 109, ST JOHNS, FL 322593861 resulted in other recordable case. Employee was deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0716
- Parent company
- Publix Super Markets Inc
- Street
- 450 STATE RD 13 N STE 109
- City
- ST JOHNS
- State
- FL
- ZIP
- 322593861
- On-site location
- Mop Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Walking
What happened
Retrieving mop and bucket from mop room
Injury or illness
Strain Lower Leg Right Shoulder Right
Object or substance involved
Pallet
Summary line
Left shoulder lumbar strain assco tripped on pallet
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)
- 156
- Hours worked at this establishment (2024 total)
- 204,782
- EIN
- 590324412
- Establishment ID
- 697848
- Employer case #
- EV20248578
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 11:15
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0716
View Store 0716'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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