JACKSONVILLE, FL ·
OSHA Injury Report: Store 0631
Injury · Job transfer or restriction
At a glance
On , an injury at Store 0631 in 4495 ROOSEVELT BLVD STE 103, JACKSONVILLE, FL 322103390 resulted in job transfer or restriction. Employee was DSD Inventory Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0631
- Parent company
- Publix Super Markets Inc.
- Street
- 4495 ROOSEVELT BLVD STE 103
- City
- JACKSONVILLE
- State
- FL
- ZIP
- 322103390
- On-site location
- Back Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Loading Trailer
What happened
Operating DSD daily functions Checking in vendors
Injury or illness
Strain Shoulder Left
Object or substance involved
Shopping Cart
Summary line
Left shoulder strain assoc felt pain after pushing shopping carts
Employee and industry
- Job description
- DSD Inventory 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)
- 245
- Hours worked at this establishment (2025 total)
- 309,875
- EIN
- 590324412
- Establishment ID
- 697762
- Employer case #
- EV2025884
When (timing detail)
- Date of incident
- Shift started
- 02:30
- Time of incident
- 07:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-25
More injuries at Store 0631
View Store 0631'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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