ORMOND BEACH, FL ·
OSHA Injury Report: Store 1712
Injury · Other recordable case
At a glance
On , an injury at Store 1712 in 220 N NOVA RD, ORMOND BEACH, FL 32174 resulted in other recordable case. Employee was PT Deli Clerk in supermarkets and other grocery (except convenience) stores.
Where did this happen?
- Establishment
- Store 1712
- Parent company
- Publix Super Markets Inc.
- Street
- 220 N NOVA RD
- City
- ORMOND BEACH
- State
- FL
- ZIP
- 32174
- On-site location
- Deli Sales Floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
- Days restricted or transferred
- 176
Before the incident
Walking
What happened
Walking into the deli
Injury or illness
Fracture Shoulder Left Upper Arm Incl Clavicle Scap
Object or substance involved
Rug Carpeted
Summary line
Left shoulder upper arm fracture assoc was walking and slipped and tripped on rug
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)
- 170
- Hours worked at this establishment (2023 total)
- 235,439
- EIN
- 590324412
- Establishment ID
- 698714
- Employer case #
- EV20238329
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 06:01
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-19
More injuries at Store 1712
View Store 1712'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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