ATLANTA, GA —
OSHA Injury Report: 0631 CUMBERLAND MALL GA WHSE
Injury · Days away from work
At a glance
On , an injury at 0631 CUMBERLAND MALL GA WHSE in ATLANTA, GA 30339 resulted in days away from work. Employee was mGR STAFF in wholesale Grocer.
Where did this happen?
- Establishment
- 0631 CUMBERLAND MALL GA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2900 CUMBERLAND MALL SE
- City
- ATLANTA
- State
- GA
- ZIP
- 30339
- On-site location
- BULK WALL
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 90
Before the incident
Escorting a forklift into the freezer
What happened
Slipped and fell on her back
Injury or illness
Inflammation swelling Back Lower Right Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Back Lower Right Side Walking Floor Walking Surface
Employee and industry
- Job description
- MGR STAFF
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 252
- Total hours worked
- 392383
- EIN
- 911223280
- Establishment ID
- 1378561
- Employer case #
- WC555G9093
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 15:24
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.