CLEARWATER, FL —
OSHA Injury Report: 0336 CLEARWATER FL WHSE
Injury · Days away from work
At a glance
On , an injury at 0336 CLEARWATER FL WHSE in CLEARWATER, FL 33759 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0336 CLEARWATER FL WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2655 GULF TO BAY BOULEVARD
- City
- CLEARWATER
- State
- FL
- ZIP
- 33759
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 126
- Days restricted or transferred
- 54
Before the incident
Cleaning
What happened
Employee was cleaning the deli room when he tripped over the hose he was using to clean
Injury or illness
Bruise or Contusion Elbow Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Elbow Right Side Fall from Same Level Floor Walking Surface
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
- 287
- Total hours worked
- 442140
- EIN
- 911223280
- Establishment ID
- 1378432
- Employer case #
- WC555G8505
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 19:45
- Filing year
- 2024
- Submitted
- 28FEB2025:21:41:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.