Melbourne, FL —
OSHA Injury Report: 1450 - MELBOURNE FL
Injury · Job transfer or restriction
At a glance
On , an injury at 1450 - MELBOURNE FL in Melbourne, FL 32940 resulted in job transfer or restriction. Employee was gAS STATION ATTD in wholesale Grocer.
Where did this happen?
- Establishment
- 1450 - MELBOURNE FL
- Parent company
- Costco Wholesale
- Street
- 4305 Pineda Causeway
- City
- Melbourne
- State
- FL
- ZIP
- 32940
- On-site location
- Gas station
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 55
Before the incident
sleeping
What happened
cleaning the towers and dispensers and using hands above my head injured upper back
Injury or illness
Strain Sprain Back Upper Left Side
Object or substance involved
Maintenance Housekeeping
Summary line
Strain Sprain Back Upper Left Side Repetitive Motion Maintenance Housekeeping
Employee and industry
- Job description
- GAS STATION ATTD
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 246
- Total hours worked
- 394511
- EIN
- 911223280
- Establishment ID
- 1217792
- Employer case #
- WC555G1841
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 3:00:00.000
- Submitted
- 04MAR24:19:29:00
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.