West Melbourne, FL ·
OSHA Injury Report: FL-WMELB01&02
Injury · Other recordable case
At a glance
On , an injury at FL-WMELB01&02 in 2655 W New Haven Ave, West Melbourne, FL 32904 resulted in other recordable case. Employee was US Driver Van Delivery Store in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- FL-WMELB01&02
- Parent company
- Gordon Food Service Store LLC FL-WMELB01&02
- Street
- 2655 W New Haven Ave
- City
- West Melbourne
- State
- FL
- ZIP
- 32904
- On-site location
- store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
making a delivery
What happened
EE states he was at a delivery location when the owner 's dog jumped on the EE scratching his left forearm. EE is right hand dominant.
Injury or illness
Scratch abrasion
Object or substance involved
dog
Summary line
EE states he was at a delivery location when the owner 's dog jumped on the EE scratching his left forearm. EE is right hand dominant. Supervisor is aware.
Employee and industry
- Job description
- US Driver Van Delivery Store
- SOC code
- 53-3033: Light Truck Drivers
- NAICS code
- 445110: Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 28
- Hours worked at this establishment (2025 total)
- 38,949
- EIN
- 161675916
- Establishment ID
- 1501116
- Employer case #
- 30910
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 14:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-03-01
More injuries at Fl-Wmelb01&02
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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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