MCDONOUGH, GA ·
OSHA Injury Report: Store 1054
Injury · Other recordable case
At a glance
On , an injury at Store 1054 in 2158 HWY 20 W, MCDONOUGH, GA 302537205 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 1054
- Parent company
- Publix Super Markets Inc
- Street
- 2158 HWY 20 W
- City
- MCDONOUGH
- State
- GA
- ZIP
- 302537205
- On-site location
- Deli Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Cleaning Sanitizing
What happened
Cleaning
Injury or illness
Bruise Contusion Buttocks Lower Leg Left Thigh Left
Object or substance involved
Water
Summary line
Left lower leg left thigh buttocks contusion assoc slipped on wet floor
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)
- 186
- Hours worked at this establishment (2024 total)
- 212,715
- EIN
- 590324412
- Establishment ID
- 698075
- Employer case #
- EV20248510
When (timing detail)
- Date of incident
- Shift started
- 17:00
- Time of incident
- 20:35
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 1054
View Store 1054'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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