Clermont, FL ·
OSHA Injury Report: 1649 CLERMONT FL WHSE
Injury · Days away from work
At a glance
On , an injury at 1649 CLERMONT FL WHSE in 4600 Collina Terrace, Clermont, FL 34711 resulted in days away from work. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 1649 CLERMONT FL WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 4600 Collina Terrace
- City
- Clermont
- State
- FL
- ZIP
- 34711
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 27
- Days restricted or transferred
- 153
Before the incident
working
What happened
taking skewer of chicken out of oven felt pop in right shoulder
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Lifting Merchandise
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
- Employees at this establishment (2024 average)
- 273
- Hours worked at this establishment (2024 total)
- 449,576
- EIN
- 911223280
- Establishment ID
- 1378937
- Employer case #
- WC555G8286
When (timing detail)
- Date of incident
- Time of incident
- 16:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 1649 Clermont FL Whse
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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