HOLBROOK, NY —
OSHA Injury Report: 0230 - HOLBROOK NY
Injury · Days away from work
At a glance
On , an injury at 0230 - HOLBROOK NY in HOLBROOK, NY 27705 resulted in days away from work. Employee was mGR ASST DEPT in wholesale Grocer.
Where did this happen?
- Establishment
- 0230 - HOLBROOK NY
- Parent company
- Costco Wholesale
- Street
- 125 BEACON DRIVE
- City
- HOLBROOK
- State
- NY
- ZIP
- 27705
- On-site location
- RESTROOMS
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 85
Before the incident
Walking in to use the restroom
What happened
Walked into bathroom stall slipped on water urine on the floor hit head on wall shoulder on door
Injury or illness
Bruise or Contusion Head
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Head Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- MGR ASST DEPT
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 309
- Total hours worked
- 416860
- EIN
- 911223280
- Establishment ID
- 1217869
- Employer case #
- WC205E1629
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 18:00:00.000
- Submitted
- 04MAR24:19:31:00
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.