Ellijay, GA —
OSHA Injury Report: STORE 409
Injury · Other recordable case
At a glance
On , an injury at STORE 409 in Ellijay, GA 30540 resulted in other recordable case. Employee was personal Shopper PT in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- STORE 409
- Parent company
- INGLES MARKETS INCORPORATED
- Street
- 100 Old Orchard Sq
- City
- Ellijay
- State
- GA
- ZIP
- 30540
- On-site location
- STORE 409
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Kicking motion and fell to the ground.
What happened
EE did a kicking motion and lost his footing falling to the ground. Fell and hit head on ground.
Injury or illness
Contusion-Bruise
Object or substance involved
floor
Summary line
EE did a kicking motion and lost his footing falling to the ground. Fell and hit head on ground.
Employee and industry
- Job description
- Personal Shopper PT
- SOC code
- 41-9099 — Sales and Related Workers, All Other
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2012
- Avg employees
- 158
- Total hours worked
- 218178
- EIN
- 560846267
- Establishment ID
- 982764
- Employer case #
- IM5000299
When (timing detail)
- Date of incident
- Time of incident
- 13:15
- Filing year
- 2025
- Submitted
- 25FEB26:22:05:00
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.