DOUGLASVILLE, GA ·
OSHA Injury Report: Store 1139
Injury · Job transfer or restriction
At a glance
On , an injury at Store 1139 in 4300 CHAPEL HILL RD, DOUGLASVILLE, GA 30135 resulted in job transfer or restriction. Employee was PT Deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 1139
- Parent company
- Publix Super Markets Inc
- Street
- 4300 CHAPEL HILL RD
- City
- DOUGLASVILLE
- State
- GA
- ZIP
- 30135
- On-site location
- Deli Kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 68
Before the incident
Cleaning Sanitizing
What happened
Cleaning out the inside of the batter station
Injury or illness
Sprain Lower Back Area Incl Lumbar Lumbo Sacral
Object or substance involved
Water Hose
Summary line
Lumbar sprain assoc jumped back and stepped on the water hose turned back the wrong way
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)
- 138
- Hours worked at this establishment (2024 total)
- 169,654
- EIN
- 590324412
- Establishment ID
- 698160
- Employer case #
- EV20248497
When (timing detail)
- Date of incident
- Shift started
- 16:45
- Time of incident
- 21:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 1139
View Store 1139'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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