ROSWELL, GA ·
OSHA Injury Report: Store 0086
Injury · Other recordable case
At a glance
On , an injury at Store 0086 in 4401 SHALLOWFORD RD, ROSWELL, GA 30075 resulted in other recordable case. Employee was decorator in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0086
- Parent company
- Publix Super Markets Inc.
- Street
- 4401 SHALLOWFORD RD
- City
- ROSWELL
- State
- GA
- ZIP
- 30075
- On-site location
- Deli Sales Floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Walking
What happened
walking to soda machine
Injury or illness
Bruise Contusion Strain Ankle Left Hip Left Lower Back Area Incl Lumbar Lumbo Sacral Wrist Left
Object or substance involved
Water
Summary line
lumbar left wrist ankle strain left hip contusion assoc slipped on water
Employee and industry
- Job description
- Decorator
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 154
- Hours worked at this establishment (2023 total)
- 192,964
- EIN
- 590324412
- Establishment ID
- 697418
- Employer case #
- EV20238267
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 07:53
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 0086
View Store 0086's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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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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