JACKSONVILLE, FL —
OSHA Injury Report: 0357 - EAST JACKSONVILLE FL
Injury · Other recordable case
At a glance
On , an injury at 0357 - EAST JACKSONVILLE FL in JACKSONVILLE, FL 48152 resulted in other recordable case. Employee was mGR STAFF in wholesale Grocer.
Where did this happen?
- Establishment
- 0357 - EAST JACKSONVILLE FL
- Parent company
- Costco Wholesale
- Street
- 4901 GATE PKWY
- City
- JACKSONVILLE
- State
- FL
- ZIP
- 48152
- On-site location
- Receiving Dock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Rolling down door
What happened
Letting down roll up door with broken spring Door feel and EE tried to stop with chain and sprained R shoulder
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Door Roll up Door
Summary line
Strain Sprain Shoulder Right Side Pulling Door Roll up Door
Employee and industry
- Job description
- MGR STAFF
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 305
- Total hours worked
- 472087
- EIN
- 911223280
- Establishment ID
- 1217661
- Employer case #
- WC555G1567
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 9:00:00.000
- Submitted
- 04MAR24:19:33:00
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.