JACKSONVILLE, FL ·
OSHA Injury Report: Store 0177
Injury · Other recordable case
At a glance
On , an injury at Store 0177 in 9964 OLD BAYMEADOWS RD, JACKSONVILLE, FL 32256 resulted in other recordable case. Employee was deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0177
- Parent company
- Publix Super Markets Inc.
- Street
- 9964 OLD BAYMEADOWS RD
- City
- JACKSONVILLE
- State
- FL
- ZIP
- 32256
- On-site location
- Deli Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning Sanitizing
What happened
Cleaning sub station
Injury or illness
Inflammation Face Soft Tissue
Object or substance involved
Multi Surface Cleaner
Summary line
eye lid dermatitis assoc was cleaning the sub station with [REDACTED] by Chemstar
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 161
- Hours worked at this establishment (2023 total)
- 205,062
- EIN
- 590324412
- Establishment ID
- 697458
- Employer case #
- EV20238244
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 18:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 0177
View Store 0177'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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