LAS VEGAS, NV —
OSHA Injury Report: 0737 - CENTENNIAL NV
Injury · Job transfer or restriction
At a glance
On , an injury at 0737 - CENTENNIAL NV in LAS VEGAS, NV 92395 resulted in job transfer or restriction. Employee was mEMBERSHIP CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0737 - CENTENNIAL NV
- Parent company
- Costco Wholesale
- Street
- 6555 NORTH DECATUR BOULEVARD
- City
- LAS VEGAS
- State
- NV
- ZIP
- 92395
- On-site location
- Membership Department
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 70
Before the incident
Working in membership
What happened
Tripped and fell over new floor mats in membership department
Injury or illness
Strain Sprain Back Upper
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Upper Walking Floor Walking Surface
Employee and industry
- Job description
- MEMBERSHIP CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 375
- Total hours worked
- 553685
- EIN
- 911223280
- Establishment ID
- 1217238
- Employer case #
- WC617A3657
When (timing detail)
- Date of incident
- Shift started
- 9:45:00.000
- Time of incident
- 12:30:00.000
- Submitted
- 04MAR24:19:38:00
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.