MT LAUREL, NJ —
OSHA Injury Report: 0749 MOUNT LAUREL NJ WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0749 MOUNT LAUREL NJ WHSE in MT LAUREL, NJ 8054 resulted in job transfer or restriction. Employee was gAS STATION ATTD in wholesale Grocer.
Where did this happen?
- Establishment
- 0749 MOUNT LAUREL NJ WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 100 CENTERTON ROAD
- City
- MT LAUREL
- State
- NJ
- ZIP
- 8054
- On-site location
- GAS STATION
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 17
Before the incident
WORKING Pumping gas for members
What happened
HE WAS GOING TO TAKE THE HOSE OUT OF THE GAS TANK OF A MEMBERS CAR AND WALKED INTO A POLE THAT WAS HANGING OFF THE BACK of the members vehicle
Injury or illness
Bruise or Contusion Head Right SidePossible Concussion
Object or substance involved
Pole on Member Vehicle
Summary line
Bruise or Contusion Head Right Side Struck Against a Fixed Object Member Vehicle
Employee and industry
- Job description
- GAS STATION ATTD
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 260
- Total hours worked
- 383687
- EIN
- 911223280
- Establishment ID
- 1378642
- Employer case #
- WC390M027
When (timing detail)
- Date of incident
- Shift started
- 14:45
- Time of incident
- 15:00
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.