Forsyth, GA —
OSHA Injury Report: STORE 403
Injury · Other recordable case
At a glance
On , an injury at STORE 403 in Forsyth, GA 31029 resulted in other recordable case. Employee was produce Clerk in retail Food Markets.
Where did this happen?
- Establishment
- STORE 403
- Parent company
- Ingles Markets Inc.
- Street
- 260 Tift College Dr.
- City
- Forsyth
- State
- GA
- ZIP
- 31029
- On-site location
- Produce
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking in Produce prep area
What happened
Slipped on honeydew slice
Injury or illness
Floor
Object or substance involved
Contusion-Bruise-Trunk - Lower Back Area
Summary line
Slipped in produce prep area in fruit cutting area. Right side of back is mentioned
Employee and industry
- Job description
- Produce Clerk
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Retail Food Markets
- NAICS vintage
- 2022
- Avg employees
- 142
- Total hours worked
- 199318
- EIN
- 560846267
- Establishment ID
- 852009
- Employer case #
- IM11053695
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 10:15:00.000
- Submitted
- 04MAR24:17:55:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.