JACKSONVILLE, FL ·
OSHA Injury Report: Store 1896
Injury · Other recordable case
At a glance
On , an injury at Store 1896 in 13170 ATLANTIC BLVD STE 29, JACKSONVILLE, FL 322254150 resulted in other recordable case. Employee was customer Service Staff in supermarkets and other grocery except convenience stores.
Where did this happen?
- Establishment
- Store 1896
- Parent company
- Publix Super Markets Inc
- Street
- 13170 ATLANTIC BLVD STE 29
- City
- JACKSONVILLE
- State
- FL
- ZIP
- 322254150
- On-site location
- Checkout Area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days away from work
- 115
Before the incident
Walking
What happened
Walking to self check out
Injury or illness
Bruise Contusion Shoulder Right Skull
Object or substance involved
Bodily Motion
Summary line
Head right shoulder contusion assoc tripped over own feet
Employee and industry
- Job description
- Customer Service Staff
- SOC code
- 43-4051: Customer Service Representatives
- NAICS code
- 445110: Supermarkets and other grocery except convenience stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 137
- Hours worked at this establishment (2024 total)
- 66,056
- EIN
- 590324412
- Establishment ID
- 1361726
- Employer case #
- EV20248735
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 14:44
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at Store 1896
View Store 1896'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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