AUBURNDALE, FL —
OSHA Injury Report: Store 1103
Injury · Other recordable case
At a glance
On , an injury at Store 1103 in AUBURNDALE, FL 33823 resulted in other recordable case. Employee was pT Deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 1103
- Parent company
- Publix Super Markets Inc.
- Street
- 606 HAVENDALE BLVD
- City
- AUBURNDALE
- State
- FL
- ZIP
- 33823
- On-site location
- Deli Preparation Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Other
What happened
cleaning dishes
Injury or illness
Other Knee Left Lower Back Area Incl Lumbar Lumbo Sacral
Object or substance involved
water
Summary line
lumbar left knee pain assoc slipped on water on floor
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
- 178
- Total hours worked
- 218101
- EIN
- 590324412
- Establishment ID
- 698123
- Employer case #
- EV20238136
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 13:10:00.000
- Submitted
- 19FEB24:17:28:00
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.