DAVENPORT, FL ·
OSHA Injury Report: Store 0879
Injury · Other recordable case
At a glance
On , an injury at Store 0879 in 2424 SAND MINE RD, DAVENPORT, FL 33897 resulted in other recordable case. Employee was deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 0879
- Parent company
- Publix Super Markets Inc.
- Street
- 2424 SAND MINE RD
- City
- DAVENPORT
- State
- FL
- ZIP
- 33897
- On-site location
- Deli Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 115
Before the incident
Food Preparation
What happened
Lifting cutting board
Injury or illness
Bruise Contusion Shoulder Right
Object or substance involved
Hanging Signs
Summary line
Right shoulder contusion assoc was struck by falling sign
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)
- 178
- Hours worked at this establishment (2023 total)
- 214,434
- EIN
- 590324412
- Establishment ID
- 698002
- Employer case #
- EV20238386
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 07:10
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 0879
View Store 0879'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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