Melbourne, FL ·
OSHA Injury Report: 1450 - MELBOURNE FL
Injury · Job transfer or restriction
At a glance
On , an injury at 1450 - MELBOURNE FL in 4305 Pineda Causeway, Melbourne, FL 32940 resulted in job transfer or restriction. Employee was tire installer 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
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 75
Before the incident
Lifting tire
What happened
Lifting tire onto changer and strained lower back
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Tire
Summary line
Strain Sprain Back Lower Right and Left Side Lifting Tire
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093: Tire Repairers and Changers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 246
- Hours worked at this establishment (2023 total)
- 394,511
- EIN
- 911223280
- Establishment ID
- 1217792
- Employer case #
- WC555G4851
When (timing detail)
- Date of incident
- Shift started
- 14:32
- Time of incident
- 17:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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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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