SAN JUAN, BAIRO, PR —
OSHA Injury Report: 0335 - CAROLINA PR
Injury · Other recordable case
At a glance
On , an injury at 0335 - CAROLINA PR in SAN JUAN, BAIRO, PR 64055 resulted in other recordable case. Employee was mGR STAFF in wholesale Grocer.
Where did this happen?
- Establishment
- 0335 - CAROLINA PR
- Parent company
- Costco Wholesale
- Street
- 1185 AVE 65 INFANTERIA
- City
- SAN JUAN, BAIRO
- State
- PR
- ZIP
- 64055
- On-site location
- WAREHOUSE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Supervising a noise in the freezer
What happened
Slip on frozen floor
Injury or illness
Hurt back right leg right arm and right elbow
Object or substance involved
Frozen floor
Summary line
Strain Sprain Back Lower Right and Left Side Walking Floor Walking Surface
Employee and industry
- Job description
- MGR STAFF
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 308
- Total hours worked
- 477362
- EIN
- 911223280
- Establishment ID
- 1217530
- Employer case #
- M33523021
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- 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.