DOUGLASVILLE, GA ·
OSHA Injury Report: Store 0485
Injury · Other recordable case
At a glance
On , an injury at Store 0485 in 3316 HIGHWAY 5, DOUGLASVILLE, GA 30135 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0485
- Parent company
- Publix Super Markets Inc.
- Street
- 3316 HIGHWAY 5
- City
- DOUGLASVILLE
- State
- GA
- ZIP
- 30135
- On-site location
- Deli Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Other
What happened
walking from hot case
Injury or illness
Other Knee Left
Object or substance involved
Working Walking Surface
Summary line
left knee patella subluxation assoc slipped and fell walking to sub shop
Employee and industry
- Job description
- PT 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)
- 167
- Hours worked at this establishment (2023 total)
- 204,567
- EIN
- 590324412
- Establishment ID
- 697628
- Employer case #
- EV20238257
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 12:12
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 0485
View Store 0485'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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