LAWRENCE TOWNSHIP, NJ —
OSHA Injury Report: 1199 PRINCETON NJ WHSE
Injury · Other recordable case
At a glance
On , an injury at 1199 PRINCETON NJ WHSE in LAWRENCE TOWNSHIP, NJ 8648 resulted in other recordable case. Employee was mEMBERSHIP CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1199 PRINCETON NJ WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 4100 QUAKER BRIDGE ROAD
- City
- LAWRENCE TOWNSHIP
- State
- NJ
- ZIP
- 8648
- On-site location
- OUTSIDE PERIMETER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking to his car
What happened
slipped and fell on black ice landed on back slid under car
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Parking Lot
Summary line
Strain Sprain Back Lower Fall from Same Level Parking Lot
Employee and industry
- Job description
- MEMBERSHIP CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 326
- Total hours worked
- 488393
- EIN
- 911223280
- Establishment ID
- 1378804
- Employer case #
- M119924059
When (timing detail)
- Date of incident
- Shift started
- 10:30
- Time of incident
- 19:00
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
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.