ATLANTA, GA —
OSHA Injury Report: 0631 - CUMBERLAND MALL GA
Injury · Other recordable case
At a glance
On , an injury at 0631 - CUMBERLAND MALL GA in ATLANTA, GA 55109 resulted in other recordable case. Employee was mGR STAFF 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
- DRY GOODS
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Checking on the level of paper goods in sundries
What happened
Going under C steel from RTV to paper towel section stood up under the orange beam hit top of head Scraped skin off
Injury or illness
Laceration Head
Object or substance involved
Steel Load Beams
Summary line
Laceration Head Struck Against a Fixed Object Steel Load Beams
Employee and industry
- Job description
- MGR STAFF
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 245
- Total hours worked
- 383256
- EIN
- 911223280
- Establishment ID
- 1217618
- Employer case #
- WC555G5016
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 14:00:00.000
- 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.