FAYETTEVILLE, GA ·
OSHA Injury Report: Store 0579
Injury · Other recordable case
At a glance
On , an injury at Store 0579 in 108 PAVILLION PKWY, FAYETTEVILLE, GA 30214 resulted in other recordable case. Employee was decorator in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0579
- Parent company
- Publix Super Markets Inc.
- Street
- 108 PAVILLION PKWY
- City
- FAYETTEVILLE
- State
- GA
- ZIP
- 30214
- On-site location
- Bakery Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning General
What happened
Washing dishes
Injury or illness
Other Lower Back Area Incl Lumbar Lumbo Sacral
Object or substance involved
Water
Summary line
Low back pain 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)
- 180
- Hours worked at this establishment (2023 total)
- 232,142
- EIN
- 590324412
- Establishment ID
- 697712
- Employer case #
- EV20238322
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 11:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 0579
View Store 0579'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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