DACULA, GA —
OSHA Injury Report: Store 0803
Injury · Other recordable case
At a glance
On , an injury at Store 0803 in DACULA, GA 30019 resulted in other recordable case. Employee was pT Deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0803
- Parent company
- Publix Super Markets Inc.
- Street
- 720 DACULA RD
- City
- DACULA
- State
- GA
- ZIP
- 30019
- On-site location
- Deli Cooler
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Other
What happened
pulling shelving out to reach boxes
Injury or illness
Bruise Contusion Lower Arm
Object or substance involved
block of cheese
Summary line
left forearm contusion assoc was struck by falling block of cheese
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
- Avg employees
- 162
- Total hours worked
- 189732
- EIN
- 590324412
- Establishment ID
- 697933
- Employer case #
- EV20238258
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 10:00:00.000
- 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.