PLANTATION, FL ·
OSHA Injury Report: Store 1040
Injury · Job transfer or restriction
At a glance
On , an injury at Store 1040 in 550 N PINE ISLAND RD, PLANTATION, FL 33324 resulted in job transfer or restriction. Employee was PT Front Service Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 1040
- Parent company
- Publix Super Markets Inc.
- Street
- 550 N PINE ISLAND RD
- City
- PLANTATION
- State
- FL
- ZIP
- 33324
- On-site location
- Deli Sales Floor
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 39
Before the incident
Walking
What happened
Returning an item back to the bakery department
Injury or illness
Fracture Other Shoulder Right
Object or substance involved
Clothing Shoe
Summary line
Right lower arm fracture shoulder pain from tripping on shoe
Employee and industry
- Job description
- PT Front Service Clerk
- SOC code
- 43-4051: Customer Service Representatives
- NAICS code
- 445110: Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 136
- Hours worked at this establishment (2025 total)
- 168,896
- EIN
- 590324412
- Establishment ID
- 698062
- Employer case #
- EV2025913
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 21:55
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-25
More injuries at Store 1040
View Store 1040'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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