PALM BAY, FL ·
OSHA Injury Report: Store 0779
Injury · Other recordable case
At a glance
On , an injury at Store 0779 in 3450 BAYSIDE LAKES BLVD SE, PALM BAY, FL 329096815 resulted in other recordable case. Employee was deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0779
- Parent company
- Publix Super Markets Inc
- Street
- 3450 BAYSIDE LAKES BLVD SE
- City
- PALM BAY
- State
- FL
- ZIP
- 329096815
- On-site location
- Break Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Walking
What happened
Walking into break room
Injury or illness
Sprain Ankle Left Knee Left Lower Leg Left
Object or substance involved
Furniture or Furnishings
Summary line
Left ankle sprain assoc tripped over chair in breakroom
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)
- 218
- Hours worked at this establishment (2024 total)
- 266,402
- EIN
- 590324412
- Establishment ID
- 697909
- Employer case #
- EV20248652
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 12:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0779
View Store 0779'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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