LEBANON, TN ·
OSHA Injury Report: Store 1175
Injury · Other recordable case
At a glance
On , an injury at Store 1175 in 1703 W MAIN ST, LEBANON, TN 37087 resulted in other recordable case. Employee was PT Bakery Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 1175
- Parent company
- Publix Super Markets Inc.
- Street
- 1703 W MAIN ST
- City
- LEBANON
- State
- TN
- ZIP
- 37087
- On-site location
- Bakery Freezer
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Walking
What happened
Getting product for the sales floor from the freezer
Injury or illness
Bruise Contusion Elbow Left
Object or substance involved
water
Summary line
left elbow contusion assoc slipped on water
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
- Employees at this establishment (2023 average)
- 177
- Hours worked at this establishment (2023 total)
- 216,250
- EIN
- 590324412
- Establishment ID
- 698196
- Employer case #
- EV20238247
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 06:33
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 1175
View Store 1175's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in TN
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.