ROSWELL, GA ·
OSHA Injury Report: Store 0086
Injury · Days away from work
At a glance
On , an injury at Store 0086 in 4401 SHALLOWFORD RD, ROSWELL, GA 30075 resulted in days away from work. Employee was PT Customer Service Staff in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0086
- Parent company
- Publix Super Markets Inc.
- Street
- 4401 SHALLOWFORD RD
- City
- ROSWELL
- State
- GA
- ZIP
- 30075
- On-site location
- Mop Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 179
Before the incident
Floor Maintenance
What happened
Dismantling floor machine cleaning drains
Injury or illness
Other Sprain Knee Right Wrist Right
Object or substance involved
Water Hose
Summary line
Right knee injury right wrist sprain from tripping on water hose
Employee and industry
- Job description
- PT Customer Service Staff
- SOC code
- 43-4051: Customer Service Representatives
- NAICS code
- 445110: Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 148
- Hours worked at this establishment (2025 total)
- 180,340
- EIN
- 590324412
- Establishment ID
- 697418
- Employer case #
- EV2025888
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 22:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-25
More injuries at Store 0086
View Store 0086's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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