MIDDLEBURG, FL —
OSHA Injury Report: Store 0736
Injury · Other recordable case
At a glance
On , an injury at Store 0736 in MIDDLEBURG, FL 32068 resulted in other recordable case. Employee was pT Bakery Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0736
- Parent company
- Publix Super Markets Inc.
- Street
- 2640 BLANDING BLVD
- City
- MIDDLEBURG
- State
- FL
- ZIP
- 32068
- On-site location
- Bakery Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 101
Before the incident
Walking
What happened
Glazing donuts
Injury or illness
Bruise Contusion Sprain Knee Left
Object or substance involved
Donut Glazer
Summary line
Left knee contusion sprain assoc was struck by falling donut glazer
Employee and industry
- Job description
- PT Bakery Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2022
- Avg employees
- 148
- Total hours worked
- 197785
- EIN
- 590324412
- Establishment ID
- 697867
- Employer case #
- EV20238400
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 8:00:00.000
- Submitted
- 19FEB24:17:26:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.