OMAHA, NE —
OSHA Injury Report: 1012 - OMAHA NE
Injury · Days away from work
At a glance
On , an injury at 1012 - OMAHA NE in OMAHA, NE 23235 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 1012 - OMAHA NE
- Parent company
- Costco Wholesale
- Street
- 12300 West Dodge Rd.
- City
- OMAHA
- State
- NE
- ZIP
- 23235
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
Before the incident
washing dishes
What happened
Working in FC doing dishes and tripped over open drain cover
Injury or illness
Bruise or Contusion Leg Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Leg Right Side Fall on uneven surface Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 352
- Total hours worked
- 509338
- EIN
- 911223280
- Establishment ID
- 1217888
- Employer case #
- WC413F6418
When (timing detail)
- Date of incident
- Shift started
- 11:30:00.000
- Time of incident
- 19:00:00.000
- Submitted
- 04MAR24:19:23:00
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.