LAUDERHILL, FL ·
OSHA Injury Report: Store 1109
Injury · Other recordable case
At a glance
On , an injury at Store 1109 in 5855 W OAKLAND PARK BLVD SUITE 203, LAUDERHILL, FL 333131321 resulted in other recordable case. Employee was deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 1109
- Parent company
- Publix Super Markets Inc
- Street
- 5855 W OAKLAND PARK BLVD SUITE 203
- City
- LAUDERHILL
- State
- FL
- ZIP
- 333131321
- 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
Walking out of department
Injury or illness
Bruise Contusion Other Face Foot Right Skull
Object or substance involved
Cart Rack
Summary line
Facial contusion right foot pain closed head injury assoc tripped on rack
Employee and industry
- Job description
- 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)
- 179
- Hours worked at this establishment (2024 total)
- 236,582
- EIN
- 590324412
- Establishment ID
- 698129
- Employer case #
- EV20248594
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 16:26
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 1109
View Store 1109'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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