St. Augustine, FL ·
OSHA Injury Report: 1615 - ST. AUGUSTINE FL
Injury · Days away from work
At a glance
On , an injury at 1615 - ST. AUGUSTINE FL in 215 World Commerce Parkway, St. Augustine, FL 32092 resulted in days away from work. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 1615 - ST. AUGUSTINE FL
- Parent company
- Costco Wholesale
- Street
- 215 World Commerce Parkway
- City
- St. Augustine
- State
- FL
- ZIP
- 32092
- On-site location
- deli
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 100
- Days restricted or transferred
- 84
Before the incident
carrying luggers to the sink
What happened
feet went out from under me
Injury or illness
Bruise or Contusion Shoulder Right Side
Object or substance involved
Foreign Body
Summary line
Bruise or Contusion Shoulder Right Side Fall from Different Level Foreign Body
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 274
- Hours worked at this establishment (2023 total)
- 452,546
- EIN
- 911223280
- Establishment ID
- 1217817
- Employer case #
- WC555G0993
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 14:00
- 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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