CLERMONT, FL ·
OSHA Injury Report: Store 0684
Injury · Other recordable case
At a glance
On , an injury at Store 0684 in 17445 US HWY 192 STE 11, CLERMONT, FL 347E6 resulted in other recordable case. Employee was deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0684
- Parent company
- Publix Super Markets Inc.
- Street
- 17445 US HWY 192 STE 11
- City
- CLERMONT
- State
- FL
- ZIP
- 347E6
- On-site location
- Deli Sales Floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Stocking Merchandising
What happened
Deli production and stocking
Injury or illness
Other Chest Incl Ribs Sternum Soft Tissue Elbow Left Knee Left Shoulder Left
Object or substance involved
Rug Carpeted
Summary line
Left elbow shoulder chest knee pain assoc tripped on rug
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)
- 160
- Hours worked at this establishment (2023 total)
- 199,917
- EIN
- 590324412
- Establishment ID
- 697816
- Employer case #
- EV20238119
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 10:18
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 0684
View Store 0684'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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