Melbourne, FL ·
OSHA Injury Report: 1450 MELBOURNE FL WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1450 MELBOURNE FL WHSE in 4305 Pineda Causeway, Melbourne, FL 32940 resulted in job transfer or restriction. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 1450 MELBOURNE FL WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 4305 Pineda Causeway
- City
- Melbourne
- State
- FL
- ZIP
- 32940
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 74
Before the incident
changing tires on car
What happened
ee putting spare tire back underneath car trunk was open for support trunk came down and struck employee
Injury or illness
Bruise or Contusion Forearms Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Bruise or Contusion Forearms Right Side Caught In or Between Tool Equipment Unclassified
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 271
- Hours worked at this establishment (2025 total)
- 433,358
- EIN
- 911223280
- Establishment ID
- 1378911
- Employer case #
- WC555H222
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 17:23
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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