JACKSONVILLE, FL ·
OSHA Injury Report: Store 0631
Injury · Other recordable case
At a glance
On , an injury at Store 0631 in 4495 ROOSEVELT BLVD STE 103, JACKSONVILLE, FL 322103390 resulted in other recordable case. Employee was grocery Replenishment Spec 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking
What happened
Sitting on pallets after clocking out for the day
Injury or illness
Other Shoulder Left
Object or substance involved
Bodily Motion
Summary line
Left shoulder pain from bodily motion when standing up
Employee and industry
- Job description
- Grocery Replenishment Spec
- 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 #
- EV2025905
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 07:03
- 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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