DUNCANVILLE, TX —
OSHA Injury Report: 0636 - DUNCANVILLE TX
Injury · Job transfer or restriction
At a glance
On , an injury at 0636 - DUNCANVILLE TX in 250 WEST HIGHWAY 67, DUNCANVILLE, TX 80110 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0636 - DUNCANVILLE TX
- Parent company
- Costco Wholesale
- Street
- 250 WEST HIGHWAY 67
- City
- DUNCANVILLE
- State
- TX
- ZIP
- 80110
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
Walking out of rotisserie room
What happened
Walking out of door into another room slipped and fell backwards onto my right side
Injury or illness
Bruise or Contusion Shoulder Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Shoulder Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 235
- Total hours worked
- 365909
- EIN
- 911223280
- Establishment ID
- 1217414
- Employer case #
- PRS 019400
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 16:22:00.000
- Submitted
- 04MAR24:19:36:00
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View 0636 - DUNCANVILLE TX's full OSHA safety record →
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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.