Henderson, NV ·
OSHA Injury Report: 1320 - SW HENDERSON NV
Injury · Job transfer or restriction
At a glance
On , an injury at 1320 - SW HENDERSON NV in 3411 St Rose Parkway, Henderson, NV 85719 resulted in job transfer or restriction. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 1320 - SW HENDERSON NV
- Parent company
- Costco Wholesale
- Street
- 3411 St Rose Parkway
- City
- Henderson
- State
- NV
- ZIP
- 85719
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 52
Before the incident
No specific action
What happened
[REDACTED] claims she hurt her right shoulder No specific action caused this that she knows of
Injury or illness
Bruise or Contusion Shoulder Right Side
Object or substance involved
Foreign Body
Summary line
Bruise or Contusion Shoulder Right Side Foreign Body Foreign Body
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
- Employees at this establishment (2023 average)
- 365
- Hours worked at this establishment (2023 total)
- 552,614
- EIN
- 911223280
- Establishment ID
- 1217338
- Employer case #
- WC617A4966
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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