LAWRENCEVILLE, GA ·
OSHA Injury Report: Store 0863
Injury · Other recordable case
At a glance
On , an injury at Store 0863 in 1030 OLD PEACHTREE RD NW, LAWRENCEVILLE, GA 300433308 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 0863
- Parent company
- Publix Super Markets Inc
- Street
- 1030 OLD PEACHTREE RD NW
- City
- LAWRENCEVILLE
- State
- GA
- ZIP
- 300433308
- On-site location
- Deli Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Slicing Meat Cheese
What happened
Slicing cheese
Injury or illness
Other Shoulder Right
Object or substance involved
Deli Slicer
Summary line
Right shoulder pain assoc felt pain using deli slicer
Employee and industry
- Job description
- PT 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)
- 174
- Hours worked at this establishment (2024 total)
- 198,806
- EIN
- 590324412
- Establishment ID
- 697990
- Employer case #
- EV20248621
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 0863
View Store 0863's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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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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