Las Vegas, NV —
OSHA Injury Report: Premium Waters Inc
Injury · Other recordable case
At a glance
On , an injury at Premium Waters Inc in Las Vegas, NV 89115 resulted in other recordable case. Employee was production Operator in beverages, naturally carbonated bottled water, manufacturing.
Where did this happen?
- Establishment
- Premium Waters Inc
- Parent company
- Premium Waters Inc
- Street
- 3355 N Lamb Blvd
- City
- Las Vegas
- State
- NV
- ZIP
- 89115
- On-site location
- Outside parking lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
he was operating a forklift to load a pallet of water on an truck.
What happened
after he loaded the pallet of water on the truck he got off the forklift and did not engage the parking brake. The forklift then moved and it pinned against the truck door.
Injury or illness
contusion to pelvis and abdomen wall
Object or substance involved
forklift
Summary line
Contusion of Pelvis and Abdomen Wall
Employee and industry
- Job description
- Production Operator
- SOC code
- 51-9111 — Packaging and Filling Machine Operators and Tenders
- NAICS code
- 312112 — Beverages, naturally carbonated bottled water, manufacturing
- NAICS vintage
- 2022
- Avg employees
- 55
- Total hours worked
- 107584
- EIN
- 411797514
- Establishment ID
- 933058
- Employer case #
- TBD0015290
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 17:30:00.000
- Submitted
- 16JAN24:15:30:00
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.