PEMBROKE PINES, FL —
OSHA Injury Report: 0742 PEMBROKE PINES FL WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0742 PEMBROKE PINES FL WHSE in PEMBROKE PINES, FL 33027 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0742 PEMBROKE PINES FL WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 19515 PINES BOULEVARD
- City
- PEMBROKE PINES
- State
- FL
- ZIP
- 33027
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 26
Before the incident
Washing Dishes
What happened
Slipped and hit her body on a table while doing dishes
Injury or illness
Bruise or Contusion Back Lower Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Bruise or Contusion Back Lower Left Side Fall from Same Level Tool Equipment Unclassified
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 307
- Total hours worked
- 472289
- EIN
- 911223280
- Establishment ID
- 1378635
- Employer case #
- WC555G9016
When (timing detail)
- Date of incident
- Shift started
- 17:30
- Time of incident
- 22:15
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
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.