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 mAINTENANCE ASST 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
- OUTSIDE PERIMETER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
Running
What happened
Was running jogging into work by tire center foot missed the curb and full weight fell on left foot bending it
Injury or illness
Strain Sprain Foot Left Side
Object or substance involved
Parking Lot
Summary line
Strain Sprain Foot Left Side Fall on uneven surface Parking Lot
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 245
- Total hours worked
- 383256
- EIN
- 911223280
- Establishment ID
- 1217618
- Employer case #
- WC555G5579
When (timing detail)
- Date of incident
- Shift started
- 15:55:00.000
- Time of incident
- 15:52:00.000
- 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.