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JACKSONVILLE, FL —

OSHA Injury Report: 0357 - EAST JACKSONVILLE FL

Injury · Other recordable case

At a glance

On , an injury at 0357 - EAST JACKSONVILLE FL in 4901 GATE PKWY, JACKSONVILLE, FL 48152 resulted in other recordable case. Employee was hA ATTD NL in wholesale Grocer.

Where did this happen?

Establishment
0357 - EAST JACKSONVILLE FL
Parent company
Costco Wholesale
Street
4901 GATE PKWY
City
JACKSONVILLE
State
FL
ZIP
48152
On-site location
HEARING CENTER

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

went to sit down on chair at desk

What happened

EE reports she went to sit down and missed the chair and hit her head on the desk

Injury or illness

Inflammation swelling Head

Object or substance involved

Tool Equipment Unclassified

Summary line

Inflammation swelling Head Fall from Different Level Tool Equipment Unclassified

Employee and industry

Job description
HA ATTD NL
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
305
Total hours worked
472087
EIN
911223280
Establishment ID
1217661
Employer case #
WC555G6534

When (timing detail)

Date of incident
Time of incident
10:30:00.000
Submitted
04MAR24:19:33:00

More injuries at 0357 - EAST JACKSONVILLE FL

View 0357 - EAST JACKSONVILLE FL's full OSHA safety record →

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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.