LAS VEGAS, NV —
OSHA Injury Report: 0737 CENTENNIAL NV WHSE
Injury · Other recordable case
At a glance
On , an injury at 0737 CENTENNIAL NV WHSE in LAS VEGAS, NV 89131 resulted in other recordable case. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0737 CENTENNIAL NV WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 6555 NORTH DECATUR BOULEVARD
- City
- LAS VEGAS
- State
- NV
- ZIP
- 89131
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
changing a tire
What happened
metal bar spraung hit upper jaw when changing tire
Injury or illness
Laceration Mouth
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Mouth Struck by a Moving Object Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 371
- Total hours worked
- 554664
- EIN
- 911223280
- Establishment ID
- 1378630
- Employer case #
- WC617A5659
When (timing detail)
- Date of incident
- Shift started
- 15:15
- Time of incident
- 18:00
- 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.