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 fORKLIFT DRIVER 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
- WALK IN FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
walking into sub zero freezer
What happened
slipped on ice and caught myself sustained whiplash
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Lower Right Side Fall on Ice or Snow Floor Walking Surface
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — WHOLESALE GROCER
- NAICS vintage
- 2022
- Avg employees
- 265
- Total hours worked
- 379022
- EIN
- 911223280
- Establishment ID
- 1378702
- Employer case #
- WC608H1145
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 15:45
- 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.