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PEMBROKE PINES, FL —

OSHA Injury Report: 0742 - PEMBROKE PINES FL

Injury · Days away from work

At a glance

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

Where did this happen?

Establishment
0742 - PEMBROKE PINES FL
Parent company
Costco Wholesale
Street
19515 PINES BOULEVARD
City
PEMBROKE PINES
State
FL
ZIP
98332
On-site location
SERVICE DELI

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
54

Before the incident

cutting butter

What happened

claimant while in the course and scope of employment was cutting butter and felt a suddenonset of pain

Injury or illness

Strain Sprain Shoulder Left Side

Object or substance involved

Tool Equipment Unclassified

Summary line

Strain Sprain Shoulder Left Side Object Handled Tool Equipment Unclassified

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
299
Total hours worked
451046
EIN
911223280
Establishment ID
1217054
Employer case #
WC555G5660

When (timing detail)

Date of incident
Submitted
04MAR24:19:38:00

More injuries at 0742 - PEMBROKE PINES FL

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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.