PEMBROKE PINES, FL —
OSHA Injury Report: 0742 - PEMBROKE PINES FL
Injury · Days away from work
At a glance
On , an injury at 0742 - PEMBROKE PINES FL in PEMBROKE PINES, FL 98332 resulted in days away from work. Employee was mGR DEPT in wholesale Grocer.
Where did this happen?
- Establishment
- 0742 - PEMBROKE PINES FL
- Parent company
- Costco Wholesale
- Street
- 19515 PINES BOULEVARD
- City
- PEMBROKE PINES
- State
- FL
- ZIP
- 98332
- On-site location
- INSIDE UNCLASSIFIED
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
- Days restricted or transferred
- 98
Before the incident
on a ladder
What happened
She was on a ladder changing a sign A forklift bumped the ladder and she fell and hit her head
Injury or illness
Concussion Head
Object or substance involved
Ladder Stepstool
Summary line
Concussion Head Fall from ladder stepstool Ladder Stepstool
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 41-1012 — First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 299
- Total hours worked
- 451046
- EIN
- 911223280
- Establishment ID
- 1217054
- Employer case #
- WC555G2533
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 7:28:00.000
- Submitted
- 04MAR24:19:38:00
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.