LEWISVILLE, TX —
OSHA Injury Report: 0683 LEWISVILLE TX WHSE
Injury · Days away from work
At a glance
On , an injury at 0683 LEWISVILLE TX WHSE in LEWISVILLE, TX 75067 resulted in days away from work. Employee was sUP HOURLY 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
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 4
Before the incident
Crouching Down
What happened
Crouching down to retrieve boxes from lower level of table table fell on top of me
Injury or illness
Bruise or Contusion Back Lower Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Bruise or Contusion Back Lower Right Side Struck by a falling or flying object Tool Equipment Unclassified
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 298
- Total hours worked
- 466513
- EIN
- 911223280
- Establishment ID
- 1378611
- Employer case #
- PRS 019994
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 13:20
- 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.