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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0742 - PEMBROKE PINES FL

Injury · Days away from work

On , an injury at 0742 - PEMBROKE PINES FL in 19515 PINES BOULEVARD, PEMBROKE PINES, FL 98332 resulted in days away from work. Employee was mGR DEPT in wholesale Grocer.

Parent company
Costco Wholesale
Street
19515 PINES BOULEVARD
City
PEMBROKE PINES
State
FL
ZIP
98332
On-site location
INSIDE UNCLASSIFIED
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
180
Days restricted or transferred
98

on a ladder

She was on a ladder changing a sign A forklift bumped the ladder and she fell and hit her head

Concussion Head

Ladder Stepstool

Concussion Head Fall from ladder stepstool Ladder Stepstool

Job description
MGR DEPT
SOC code
41-1012 — First-Line Supervisors of Non-Retail Sales Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
299
Total hours worked
451046
EIN
911223280
Establishment ID
1217054
Employer case #
WC555G2533
Date of incident
Shift started
4:00:00.000
Time of incident
7:28:00.000
Submitted
04MAR24:19:38:00

View 0742 - PEMBROKE PINES FL's full OSHA safety record →

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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.