JACKSONVILLE, FL ·
OSHA Injury Report: Store 1223
Injury · Other recordable case
At a glance
On , an injury at Store 1223 in 2039 HENDRICKS AVE STE 325, JACKSONVILLE, FL 32207 resulted in other recordable case. Employee was PT Customer Service Staff in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 1223
- Parent company
- Publix Super Markets Inc.
- Street
- 2039 HENDRICKS AVE STE 325
- City
- JACKSONVILLE
- State
- FL
- ZIP
- 32207
- On-site location
- Grocery Aisle Water
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning General
What happened
Operating the floor scrubber
Injury or illness
Bruise Contusion Strain Knee Right Lumbar and or Sacral Vertebrae
Object or substance involved
Water
Summary line
Right knee contusion lumbar strain assoc was operating the floor scrubber and slipped and fell on water
Employee and industry
- Job description
- PT Customer Service Staff
- SOC code
- 43-4051: Customer Service Representatives
- NAICS code
- 445110: Supermarkets and other grocery (except convenience) stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 147
- Hours worked at this establishment (2023 total)
- 203,322
- EIN
- 590324412
- Establishment ID
- 982875
- Employer case #
- EV20238467
When (timing detail)
- Date of incident
- Shift started
- 13:57
- Time of incident
- 22:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 1223
View Store 1223'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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