SURPRISE, AZ ·
OSHA Injury Report: ABS-0017-0016-00977 FAC-00977-SURPRISE-AZ
Injury · Other recordable case
At a glance
On , an injury at ABS-0017-0016-00977 FAC-00977-SURPRISE-AZ in 14551 WEST GRAND AVE, SURPRISE, AZ 85374 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- ABS-0017-0016-00977 FAC-00977-SURPRISE-AZ
- Parent company
- Albertsons LLC
- Street
- 14551 WEST GRAND AVE
- City
- SURPRISE
- State
- AZ
- ZIP
- 85374
- On-site location
- WOMEN S RESTROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CLEANING
What happened
She slipped in the women s restroom while cleaning
Injury or illness
Bruised Right Knee Fall Floor
Object or substance involved
Floor
Summary line
She slipped in the women s restroom while cleaning
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064: Packers and Packagers, Hand
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 113
- Hours worked at this establishment (2024 total)
- 152,833
- EIN
- 820184434
- Establishment ID
- 1140225
- Employer case #
- 70362
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 21:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-21
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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