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NORTH WALES, PA —

OSHA Injury Report: 0248 - MONTGOMERYVILLE PA

Injury · Days away from work

At a glance

On , an injury at 0248 - MONTGOMERYVILLE PA in 740 UPPER STATE ROAD, NORTH WALES, PA 05446 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.

Where did this happen?

Establishment
0248 - MONTGOMERYVILLE PA
Parent company
Costco Wholesale
Street
740 UPPER STATE ROAD
City
NORTH WALES
State
PA
ZIP
05446
On-site location
SERVICE DELI

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
130
Days restricted or transferred
57

Before the incident

assisting another EE in the chicken room

What happened

was helping EE in the chicken room with putting covers on chickens and slipped and fell

Injury or illness

Inflammation swelling Knee Right Side

Object or substance involved

Floor Walking Surface

Summary line

Inflammation swelling Knee Right Side Fall from Same Level Floor Walking Surface

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
268
Total hours worked
384615
EIN
911223280
Establishment ID
1218011
Employer case #
WC390F6840

When (timing detail)

Date of incident
Shift started
10:00:00.000
Time of incident
11:20:00.000
Submitted
04MAR24:19:31:00

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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.