Boulder, CO —
OSHA Injury Report: 10083 Pearl
Injury · Other recordable case
At a glance
On , an injury at 10083 Pearl in Boulder, CO 80301 resulted in other recordable case. Employee was s Grocery Service Team Member.
Where did this happen?
- Establishment
- 10083 Pearl
- Street
- 2905 Pearl Street
- City
- Boulder
- State
- CO
- ZIP
- 80301
- On-site location
- Grocery
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE STATES SQUATTING DOWN STOCKING SHELVES STOOD UP PASSED OUT FELL HIT HEAD ON GROUND CAUSING CUT SWELLING TO R EYEBROW AND PAIN.
What happened
Slip Trip Fall Same Level
Injury or illness
Dizziness
Object or substance involved
Stationary object
Summary line
Team member was stocking shelves and upon standing up felt dizzy and passed out hitting his eye on a shelf and fell to the ground
Employee and industry
- Job description
- S Grocery Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 313
- Total hours worked
- 424866
- EIN
- 742737164
- Establishment ID
- 715661
- Employer case #
- 0005771981
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 16:40:00.000
- Submitted
- 28FEB24:22:34:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.