ATLANTA, GA —
OSHA Injury Report: 0631 - CUMBERLAND MALL GA
Injury · Days away from work
At a glance
On , an injury at 0631 - CUMBERLAND MALL GA in ATLANTA, GA 55109 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0631 - CUMBERLAND MALL GA
- Parent company
- Costco Wholesale
- Street
- 2900 CUMBERLAND MALL SE
- City
- ATLANTA
- State
- GA
- ZIP
- 55109
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 21
- Days restricted or transferred
- 90
Before the incident
Pipe disconnected and EE attempted to connect pipe bending down and twisted to reach under oven and felt lower back spasm and pain
What happened
Cleaning behind ovens moving a pipe and tweaked back
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Oven
Summary line
Strain Sprain Back Lower Bending Oven
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 245
- Total hours worked
- 383256
- EIN
- 911223280
- Establishment ID
- 1217618
- Employer case #
- WC555G5162
When (timing detail)
- Date of incident
- Shift started
- 11:30:00.000
- Time of incident
- 20:00:00.000
- Submitted
- 04MAR24:19:36:00
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.