JACKSONVILLE, FL ·
OSHA Injury Report: Store 0644
Injury · Other recordable case
At a glance
On , an injury at Store 0644 in 12620 BEACH BLVD SUITE 12, JACKSONVILLE, FL 32246 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0644
- Parent company
- Publix Super Markets Inc.
- Street
- 12620 BEACH BLVD SUITE 12
- City
- JACKSONVILLE
- State
- FL
- ZIP
- 32246
- On-site location
- Deli Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Food Preparation
What happened
Grabbing something from the case
Injury or illness
Bruise Contusion Knee Right
Object or substance involved
Electrical Cord
Summary line
Right knee contusion assoc was getting something out of the case and tripped on electric cord
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)
- 186
- Hours worked at this establishment (2023 total)
- 256,080
- EIN
- 590324412
- Establishment ID
- 697774
- Employer case #
- EV20238416
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 16:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 0644
View Store 0644'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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