ST JOHNS, FL ·
OSHA Injury Report: Store 1099
Injury · Other recordable case
At a glance
On , an injury at Store 1099 in 2845 COUNTY RD 210 W, ST JOHNS, FL 322592016 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 1099
- Parent company
- Publix Super Markets Inc
- Street
- 2845 COUNTY RD 210 W
- City
- ST JOHNS
- State
- FL
- ZIP
- 322592016
- 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
Walking
What happened
Getting items to make an online sub
Injury or illness
Other Ankle Left Lower Arm
Object or substance involved
Clothing Shoe
Summary line
Right forearm left ankle injury assoc tripped on own shoes
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)
- 211
- Hours worked at this establishment (2024 total)
- 248,828
- EIN
- 590324412
- Establishment ID
- 698121
- Employer case #
- EV20248578
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 17:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 1099
View Store 1099'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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