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 sERVICE DELI CLERK 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
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 54
Before the incident
cutting butter
What happened
claimant while in the course and scope of employment was cutting butter and felt a suddenonset of pain
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Shoulder Left Side Object Handled Tool Equipment Unclassified
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 299
- Total hours worked
- 451046
- EIN
- 911223280
- Establishment ID
- 1217054
- Employer case #
- WC555G5660
When (timing detail)
- Date of incident
- 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.