LAWRENCEVILLE, GA —
OSHA Injury Report: Store 0863
Injury · Other recordable case
At a glance
On , an injury at Store 0863 in LAWRENCEVILLE, GA 300433308 resulted in other recordable case. Employee was deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0863
- Parent company
- Publix Super Markets Inc.
- Street
- 1030 OLD PEACHTREE RD NW
- City
- LAWRENCEVILLE
- State
- GA
- ZIP
- 300433308
- On-site location
- Deli Sales Floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking
What happened
Walking out of department
Injury or illness
Bruise Contusion Knee Right Lower Leg Right
Object or substance involved
Rug Carpeted
Summary line
Right knee lower extremity contusion from slipping on rug
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2012
- Avg employees
- 163
- Total hours worked
- 191235
- EIN
- 590324412
- Establishment ID
- 697990
- Employer case #
- EV2025898
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 12:00
- 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.