JACKSONVILLE, FL ·
OSHA Injury Report: Store 1105
Injury · Other recordable case
At a glance
On , an injury at Store 1105 in 13820 OLD ST AUGUSTINE RD, JACKSONVILLE, FL 322582448 resulted in other recordable case. Employee was grocery Team Leader in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 1105
- Parent company
- Publix Super Markets Inc
- Street
- 13820 OLD ST AUGUSTINE RD
- City
- JACKSONVILLE
- State
- FL
- ZIP
- 322582448
- On-site location
- Receiving Dock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Other
What happened
Organizing receiving area
Injury or illness
Other Lower Leg Left
Object or substance involved
Pallet Jack Manual
Summary line
Left lower leg pain assoc was taking a cardboard bail on a pallet down the back dock ramp
Employee and industry
- Job description
- Grocery Team Leader
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and other grocery except convenience stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 194
- Hours worked at this establishment (2024 total)
- 240,707
- EIN
- 590324412
- Establishment ID
- 698125
- Employer case #
- EV20248541
When (timing detail)
- Date of incident
- Shift started
- 01:00
- Time of incident
- 02:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 1105
View Store 1105'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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