Statesville, NC ·
OSHA Injury Report: STORE 150
Injury · Other recordable case
At a glance
On , an injury at STORE 150 in 722 Sullivan Road, Statesville, NC 28677 resulted in other recordable case. Employee was PT Deli Clerk in retail Food Markets.
Where did this happen?
- Establishment
- STORE 150
- Parent company
- Ingles Markets Inc.
- Street
- 722 Sullivan Road
- City
- Statesville
- State
- NC
- ZIP
- 28677
- On-site location
- FRONT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking by tobacco case and fell
What happened
slipped in standing water by the case and fell
Injury or illness
Floor
Object or substance involved
Contusion-Bruise-Lower Extremities - Knee
Summary line
EE slipped and fell on standing water by tobacco case. Knee is hurting.
Employee and industry
- Job description
- PT Deli Clerk
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Retail Food Markets
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 133
- Hours worked at this establishment (2023 total)
- 183,108
- EIN
- 560846267
- Establishment ID
- 852033
- Employer case #
- IM11053487
When (timing detail)
- Date of incident
- Shift started
- 14:02
- Time of incident
- 16:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at Store 150
View Store 150'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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