COVINGTON, PA —
OSHA Injury Report: 4120 - GOULDSBORO PA DDC (COSTCO LOGISTICS) DEPOT
Injury · Other recordable case
At a glance
On , an injury at 4120 - GOULDSBORO PA DDC (COSTCO LOGISTICS) DEPOT in COVINGTON, PA 18424 resulted in other recordable case. Employee was sUP FL EPJ in general Warehousing & Storage.
Where did this happen?
- Establishment
- 4120 - GOULDSBORO PA DDC (COSTCO LOGISTICS) DEPOT
- Parent company
- Costco Wholesale
- Street
- 151 FIRST AVENUE
- City
- COVINGTON
- State
- PA
- ZIP
- 18424
- On-site location
- Aisle 13
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Moving product
What happened
Was building a pallet with another employee he lifted the couch up and he felt his shoulder pop
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Lifting Merchandise
Employee and industry
- Job description
- SUP FL EPJ
- SOC code
- 9999 — Uncoded
- NAICS code
- 493110 — General Warehousing & Storage
- NAICS vintage
- 2022
- Avg employees
- 105
- Total hours worked
- 161651
- EIN
- 911223280
- Establishment ID
- 699082
- Employer case #
- WC390F8298
When (timing detail)
- Date of incident
- Time of incident
- 9:05:00.000
- Submitted
- 04MAR24:19:34:00
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.