TAMARAC, FL —
OSHA Injury Report: Store 0787
Injury · Other recordable case
At a glance
On , an injury at Store 0787 in TAMARAC, FL 333193303 resulted in other recordable case. Employee was decorator in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0787
- Parent company
- Publix Super Markets Inc.
- Street
- 4121 W COMMERCIAL BLVD
- City
- TAMARAC
- State
- FL
- ZIP
- 333193303
- On-site location
- Bakery Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cake Decorating
What happened
Completed ordinary job duties
Injury or illness
Fracture Shoulder Left
Object or substance involved
Bodily Motion
Summary line
Left upper arm fracture from tripping
Employee and industry
- Job description
- Decorator
- SOC code
- 27-1025 — Interior Designers
- NAICS code
- 445110 — Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2012
- Avg employees
- 181
- Total hours worked
- 227229
- EIN
- 590324412
- Establishment ID
- 697918
- Employer case #
- EV2025912
When (timing detail)
- Date of incident
- Shift started
- 6:30
- Time of incident
- 12:53
- Filing year
- 2025
- Submitted
- 25FEB26:13:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.