ROSWELL, GA ·
OSHA Injury Report: Store 1043
Injury · Other recordable case
At a glance
On , an injury at Store 1043 in 1425 MARKET BLVD SUITE 600, ROSWELL, GA 300766711 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 1043
- Parent company
- Publix Super Markets Inc
- Street
- 1425 MARKET BLVD SUITE 600
- City
- ROSWELL
- State
- GA
- ZIP
- 300766711
- On-site location
- Deli Sales Floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
No Specific Activity
What happened
Cleaning the deli
Injury or illness
Dislocation Shoulder Right
Object or substance involved
Rug Carpeted
Summary line
Right shoulder dislocation assoc tripped on rug
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)
- 150
- Hours worked at this establishment (2024 total)
- 191,789
- EIN
- 590324412
- Establishment ID
- 698065
- Employer case #
- EV20248481
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 23:08
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 1043
View Store 1043'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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