SEFFNER, FL ·
OSHA Injury Report: Store 0103
Injury · Other recordable case
At a glance
On , an injury at Store 0103 in 11782 E MARTIN LUTHER KING JR BLVD, SEFFNER, FL 335844923 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0103
- Parent company
- Publix Super Markets Inc.
- Street
- 11782 E MARTIN LUTHER KING JR BLVD
- City
- SEFFNER
- State
- FL
- ZIP
- 335844923
- On-site location
- Deli Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning Sanitizing
What happened
Associate was cleaning the Deli sub station
Injury or illness
Concussion Head Injury Strain Disc Cervical Shoulder Right Skull
Object or substance involved
Pan Tray
Summary line
Right shoulder cervical back strain head injury from tray falling on head
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 (2025 average)
- 166
- Hours worked at this establishment (2025 total)
- 214,724
- EIN
- 590324412
- Establishment ID
- 697426
- Employer case #
- EV2025913
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 23:15
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-25
More injuries at Store 0103
View Store 0103'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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