PEMBROKE PINES, FL —
OSHA Injury Report: 0742 PEMBROKE PINES FL WHSE
Injury · Days away from work
At a glance
On , an injury at 0742 PEMBROKE PINES FL WHSE in PEMBROKE PINES, FL 33027 resulted in days away from work. Employee was sERVICE DELI CLERK 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
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 35
Before the incident
Cleaning department
What happened
Employee fell inside deli cooler Fell on side and rack fell on top of him
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Lower Left Side Walking 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
- 307
- Total hours worked
- 472289
- EIN
- 911223280
- Establishment ID
- 1378635
- Employer case #
- WC555G9676
When (timing detail)
- Date of incident
- Shift started
- 15:30
- Time of incident
- 20:35
- 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.