DAVENPORT, FL ·
OSHA Injury Report: Store 1195
Injury · Other recordable case
At a glance
On , an injury at Store 1195 in 7800 LAKE WILSON RD, DAVENPORT, FL 33896 resulted in other recordable case. Employee was deli Clerk in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 1195
- Parent company
- Publix Super Markets Inc
- Street
- 7800 LAKE WILSON RD
- City
- DAVENPORT
- State
- FL
- ZIP
- 33896
- On-site location
- Back 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
Gathering some more supplies for packaging
Injury or illness
Bruise Contusion Knee Left Knee Right Upper Arm Incl Clavicle Scap
Object or substance involved
Ladder 2ft
Summary line
Right upper arm bilateral knee contusion assoc tripped over step ladder
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)
- 163
- Hours worked at this establishment (2024 total)
- 198,025
- EIN
- 590324412
- Establishment ID
- 698221
- Employer case #
- EV20248566
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 07:25
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 1195
View Store 1195'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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