Cleveland, MS ·
OSHA Injury Report: Store 6804
Injury · Other recordable case
At a glance
On , an injury at Store 6804 in 714 N Davis Rd, Cleveland, MS 38732 resulted in other recordable case. Employee was prep Cook in gasoline Station with convenience store.
Where did this happen?
- Establishment
- Store 6804
- Parent company
- D and H Company
- Street
- 714 N Davis Rd
- City
- Cleveland
- State
- MS
- ZIP
- 38732
- On-site location
- Freezer
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
Walking out of the freezer
What happened
EE fell on her bottom walking out of the freezer
Injury or illness
Abrasion
Object or substance involved
Floor
Summary line
Fell on bottom
Employee and industry
- Job description
- Prep Cook
- SOC code
- 35-2021: Food Preparation Workers
- NAICS code
- 447110: Gasoline Station with convenience store
- NAICS vintage
- 2017
- Employees at this establishment (2023 average)
- 21
- Hours worked at this establishment (2023 total)
- 29,332
- EIN
- 640297943
- Establishment ID
- 1099302
- Employer case #
- A00532637
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-14
More injuries at Store 6804
View Store 6804's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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