Boulder, CO ·
OSHA Injury Report: 10083 Pearl
Injury · Other recordable case
At a glance
On , an injury at 10083 Pearl in 2905 Pearl Street, Boulder, CO 80301 resulted in other recordable case. Employee was s Prep Foods Service Team Member.
Where did this happen?
- Establishment
- 10083 Pearl
- Street
- 2905 Pearl Street
- City
- Boulder
- State
- CO
- ZIP
- 80301
- On-site location
- Prepared Foods Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE STATES WASHING DISHES WHEN MAT UNDERNEATH SLIPPED OUT AND JOLTED BACK CAUSING RADIATING PAIN TO LOWER BACK.
What happened
Slip Trip Fall Slipped Did Not Fall
Injury or illness
Strain Sprain
Object or substance involved
Object on floor
Summary line
Pulled hip or back [REDACTED]
Employee and industry
- Job description
- S Prep Foods Service Team Member
- SOC code
- 9999: Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 313
- Hours worked at this establishment (2023 total)
- 424,866
- EIN
- 742737164
- Establishment ID
- 715661
- Employer case #
- 0005772016
When (timing detail)
- Date of incident
- Shift started
- 13:38
- Time of incident
- 19:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-28
More injuries at 10083 Pearl
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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