BUFORD, GA —
OSHA Injury Report: 0366 MALL OF GEORGIA GA WHSE
Injury · Days away from work
At a glance
On , an injury at 0366 MALL OF GEORGIA GA WHSE in BUFORD, GA 30519 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0366 MALL OF GEORGIA GA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1550 MALL OF GEORGIA BOULEVARD
- City
- BUFORD
- State
- GA
- ZIP
- 30519
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 9
- Days restricted or transferred
- 33
Before the incident
carry back a pan
What happened
Pooped right shoulder out of place carrying a pan
Injury or illness
Dislocation Shoulder Right Side
Object or substance involved
Tray
Summary line
Dislocation Shoulder Right Side Holding or Carrying Tray
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 35-2019 — Cooks, All Other
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 299
- Total hours worked
- 457483
- EIN
- 911223280
- Establishment ID
- 1378460
- Employer case #
- WC555H208
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 13:15
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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.