Phoenix, AZ —
OSHA Injury Report: Foodservice Arizona - 1012
Injury · Other recordable case
At a glance
On , an injury at Foodservice Arizona - 1012 in Phoenix, AZ 85043 resulted in other recordable case. Employee was selector Formula.
Where did this happen?
- Establishment
- Foodservice Arizona - 1012
- Street
- 455 S 75th Avenue
- City
- Phoenix
- State
- AZ
- ZIP
- 85043
- On-site location
- Foodservice Arizona 1012 Aisle BM 1381
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Strain Injury by Push Pulling
What happened
IW was driving a pallet [REDACTED] trying to take a pallet of flour from a pick slot The [REDACTED] was caught in the pallet causing pain in the shoulder as he tried to get the [REDACTED] free from the pallet
Injury or illness
Cause Strain or Injury By Body Part Shoulder s Body Part Position Left Detail Cause Strain Injury by Push Pulling
Object or substance involved
PMHE Electric Pallet Jack
Summary line
Cause Strain or Injury By Body Part Shoulder s Body Part Position Left Detail Cause Strain Injury by Push Pulling
Employee and industry
- Job description
- Selector Formula
- SOC code
- 9999 — Uncoded
- NAICS code
- 424410
- NAICS vintage
- 2012
- Avg employees
- 249
- Total hours worked
- 517037
- EIN
- 840629503
- Establishment ID
- 205895
- Employer case #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 20:00
- Filing year
- 2024
- Submitted
- 28FEB2025:16:26:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.