LAKE PARK, FL ·
OSHA Injury Report: 0093 - PALM BEACH GARDEN FL
Injury · Days away from work
At a glance
On , an injury at 0093 - PALM BEACH GARDEN FL in 3250 NORTHLAKE BLVD, LAKE PARK, FL 98133 resulted in days away from work. Employee was tire installer in wholesale Grocer.
Where did this happen?
- Establishment
- 0093 - PALM BEACH GARDEN FL
- Parent company
- Costco Wholesale
- Street
- 3250 NORTHLAKE BLVD
- City
- LAKE PARK
- State
- FL
- ZIP
- 98133
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 36
- Days restricted or transferred
- 15
Before the incident
Installing a tire
What happened
Installing a tire on a car stood up from kneeling and felt a pop in his knee
Injury or illness
Inflammation swelling Knee rupture of patellar tendon
Object or substance involved
Moving the tire
Summary line
Inflammation swelling Knee Right Side Lifting Tire
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093: Tire Repairers and Changers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 324
- Hours worked at this establishment (2023 total)
- 501,167
- EIN
- 911223280
- Establishment ID
- 1217067
- Employer case #
- WC555G3385
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 13:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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