DAVENPORT, FL ·
OSHA Injury Report: Store 0770
Injury · Job transfer or restriction
At a glance
On , an injury at Store 0770 in 8301 CHAMPIONS GATE BLVD, DAVENPORT, FL 338968389 resulted in job transfer or restriction. Employee was PT Front Service Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0770
- Parent company
- Publix Super Markets Inc
- Street
- 8301 CHAMPIONS GATE BLVD
- City
- DAVENPORT
- State
- FL
- ZIP
- 338968389
- On-site location
- Mop Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 102
Before the incident
Cleaning General
What happened
[REDACTED] was rinsing off the scrub pads in the mop room after floor care while doing this he tried to step over the ledge into the mop sink He was unable to get his foot up over the ledge This caused him to be off balanced and fall into the mop room s
Injury or illness
Bruise Contusion Eye Right Lower Back Area Incl Lumbar Lumbo Sacral Shoulder Left
Object or substance involved
Buildings Structures
Summary line
Left arm fracture assoc fell in mop room
Employee and industry
- Job description
- PT Front Service Clerk
- SOC code
- 41-2011: Cashiers
- NAICS code
- 445110: Supermarkets and other grocery except convenience stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 153
- Hours worked at this establishment (2024 total)
- 199,369
- EIN
- 590324412
- Establishment ID
- 697901
- Employer case #
- EV20248667
When (timing detail)
- Date of incident
- Shift started
- 18:00
- Time of incident
- 23:38
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0770
View Store 0770'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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