LILBURN, GA ·
OSHA Injury Report: Store 0564
Injury · Job transfer or restriction
At a glance
On , an injury at Store 0564 in 4045 FIVE FORKS TRICKUM RD, LILBURN, GA 30047 resulted in job transfer or restriction. Employee was PT Grocery Clerk 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
- Cooler
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
Pulling
What happened
Pushing float of ice cream out to the floor
Injury or illness
Bruise Contusion Great Toe Right
Object or substance involved
Float
Summary line
Right great toe contusion from float running over toe
Employee and industry
- Job description
- PT Grocery Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- 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 #
- EV2025915
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 15:30
- 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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