LILBURN, GA ·
OSHA Injury Report: Store 0564
Injury · Other recordable case
At a glance
On , an injury at Store 0564 in 4045 FIVE FORKS TRICKUM RD, LILBURN, GA 30047 resulted in other recordable case. Employee was asst Bakery Manager in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0564
- Parent company
- Publix Super Markets Inc.
- Street
- 4045 FIVE FORKS TRICKUM RD
- City
- LILBURN
- State
- GA
- ZIP
- 30047
- On-site location
- Bakery Freezer
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED]
What happened
Carrying cupcakes
Injury or illness
Sprain Ankle Right
Object or substance involved
Bodily Motion
Summary line
Right ankle sprain from bodily motion when walking
Employee and industry
- Job description
- Asst Bakery Manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 173
- Hours worked at this establishment (2025 total)
- 214,237
- EIN
- 590324412
- Establishment ID
- 697699
- Employer case #
- EV2025913
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 14:40
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-25
More injuries at Store 0564
View Store 0564's full OSHA safety record →
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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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