LITHIA, FL —
OSHA Injury Report: Store 1135
Injury · Days away from work
At a glance
On , an injury at Store 1135 in LITHIA, FL 33547 resulted in days away from work. Employee was deli Manager in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 1135
- Parent company
- Publix Super Markets Inc.
- Street
- 5642 FISHHAWK CROSSING BLVD
- City
- LITHIA
- State
- FL
- ZIP
- 33547
- On-site location
- Deli Sales Floor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 92
- Days restricted or transferred
- 88
Before the incident
No Specific Activity
What happened
Walking
Injury or illness
Fracture Lower Arm
Object or substance involved
Rug
Summary line
Left forearm fracture assoc slipped on rug
Employee and industry
- Job description
- Deli Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2022
- Avg employees
- 183
- Total hours worked
- 222866
- EIN
- 590324412
- Establishment ID
- 698156
- Employer case #
- EV20238163
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:42:00.000
- 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.