BROOKHAVEN, GA ·
OSHA Injury Report: Store 1363
Injury · Other recordable case
At a glance
On , an injury at Store 1363 in 104 TOWN BLVD STE A100, BROOKHAVEN, GA 30319 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 1363
- Parent company
- Publix Super Markets Inc.
- Street
- 104 TOWN BLVD STE A100
- City
- BROOKHAVEN
- State
- GA
- ZIP
- 30319
- On-site location
- Deli Sales Floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 149
Before the incident
Walking
What happened
Walking out of the deli department
Injury or illness
Bruise Contusion Fracture Other Sprain Hand Right Knee Left Lower Back Area Incl Lumbar Lumbo Sacral Pelvis Wrist Right
Object or substance involved
Water
Summary line
Left knee lower back pelvis contusion right wrist sprain fracture right hand lumbar sprain assoc slipped on water
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
- Employees at this establishment (2023 average)
- 176
- Hours worked at this establishment (2023 total)
- 256,330
- EIN
- 590324412
- Establishment ID
- 698377
- Employer case #
- EV20238360
When (timing detail)
- Date of incident
- Shift started
- 07:50
- Time of incident
- 09:35
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 1363
View Store 1363's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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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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