Clermont, FL —
OSHA Injury Report: 1649 CLERMONT FL WHSE
Injury · Other recordable case
At a glance
On , an injury at 1649 CLERMONT FL WHSE in Clermont, FL 34711 resulted in other recordable case. Employee was fORKLIFT DRIVER 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
- OUTSIDE PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
organizing pallets
What happened
I was backing up outside with the lift and a car hit my lift
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Member Vehicle
Summary line
Strain Sprain Shoulder Left Side Motor Vehicle Accident Member Vehicle
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 273
- Total hours worked
- 449576
- EIN
- 911223280
- Establishment ID
- 1378937
- Employer case #
- WC555G9705
When (timing detail)
- Date of incident
- Time of incident
- 11:26
- Filing year
- 2024
- Submitted
- 28FEB2025:21:44:00
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.