BROOKFIELD, CT —
OSHA Injury Report: 0304 - BROOKFIELD CT
Injury · Job transfer or restriction
At a glance
On , an injury at 0304 - BROOKFIELD CT in BROOKFIELD, CT 21076 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0304 - BROOKFIELD CT
- Parent company
- Costco Wholesale
- Street
- 200 FEDERAL ROAD
- City
- BROOKFIELD
- State
- CT
- ZIP
- 21076
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
changing a tire
What happened
While installing a tire the employee lost contril of the instal bar and hit hit his forehead
Injury or illness
Laceration Forehead
Object or substance involved
T Bar
Summary line
Laceration Forehead Right and Left Side Struck by a falling or flying object T Bar
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 315
- Total hours worked
- 457731
- EIN
- 911223280
- Establishment ID
- 1217916
- Employer case #
- WC390F6956
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 04MAR24:19:32:00
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.