HOLBROOK, NY —
OSHA Injury Report: 0230 HOLBROOK NY WHSE
Injury · Other recordable case
At a glance
On , an injury at 0230 HOLBROOK NY WHSE in 125 BEACON DRIVE, HOLBROOK, NY 11741 resulted in other recordable case. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0230 HOLBROOK NY WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 125 BEACON DRIVE
- City
- HOLBROOK
- State
- NY
- ZIP
- 11741
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
changing a tire
What happened
EE was pulling a valve through a hole on a rim when the tool snapped off the valve hitting EE in the head causing a lac
Injury or illness
Laceration Head Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Head Left Side Pulling Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 305
- Total hours worked
- 416247
- EIN
- 911223280
- Establishment ID
- 1378376
- Employer case #
- WC205J600
When (timing detail)
- Date of incident
- Shift started
- 9:30
- Time of incident
- 11:30
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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0230 HOLBROOK NY WHSE
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0230 HOLBROOK NY WHSE
View 0230 HOLBROOK NY WHSE's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.