SOUTH JORDAN, UT —
OSHA Injury Report: 1019 SOUTH JORDAN UT WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1019 SOUTH JORDAN UT WHSE in SOUTH JORDAN, UT 84095 resulted in job transfer or restriction. Employee was mGR DEPT in wHOLESALE GROCER.
Where did this happen?
- Establishment
- 1019 SOUTH JORDAN UT WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 3571 W 10400 S
- City
- SOUTH JORDAN
- State
- UT
- ZIP
- 84095
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 78
Before the incident
Muffin Depositor
What happened
[REDACTED] was lifting out the mixing paddles out of the large mixing bowl and Immediatly felt pain in lower back
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Bakery Mixer
Summary line
Strain Sprain Back Lower Left Side Lifting Bakery Mixer
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 41-1012 — First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 455211 — WHOLESALE GROCER
- NAICS vintage
- 2022
- Avg employees
- 265
- Total hours worked
- 379022
- EIN
- 911223280
- Establishment ID
- 1378702
- Employer case #
- WC608H4909
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 11:00
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
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.