LEWISVILLE, TX —
OSHA Injury Report: 0683 LEWISVILLE TX WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0683 LEWISVILLE TX WHSE in LEWISVILLE, TX 75067 resulted in job transfer or restriction. Employee was mEMBER SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0683 LEWISVILLE TX WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 851 SOUTH STATE HIGHWAY 121
- City
- LEWISVILLE
- State
- TX
- ZIP
- 75067
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 179
Before the incident
pulling the rack out of the way
What happened
i moved the rack of dough to check freezer temp and it fell on me
Injury or illness
Inflammation swelling Shoulder Left Side
Object or substance involved
Rack
Summary line
Inflammation swelling Shoulder Left Side Struck by a Moving Object Rack
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 298
- Total hours worked
- 466513
- EIN
- 911223280
- Establishment ID
- 1378611
- Employer case #
- PRS 019769
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 14:25
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.