PHOENIX, AZ —
OSHA Injury Report: 1058 PARADISE VALLEY AZ WHSE
Injury · Days away from work
At a glance
On , an injury at 1058 PARADISE VALLEY AZ WHSE in PHOENIX, AZ 85032 resulted in days away from work. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 1058 PARADISE VALLEY AZ WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 4570 EAST CACTUS ROAD
- City
- PHOENIX
- State
- AZ
- ZIP
- 85032
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 41
- Days restricted or transferred
- 139
Before the incident
working
What happened
was sliding a line of flats sideways and something in elbow popped
Injury or illness
Bruise or Contusion Elbow Left Side
Object or substance involved
Parking Lot
Summary line
Bruise or Contusion Elbow Left Side Struck Against a Fixed Object Parking Lot
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 317
- Total hours worked
- 472402
- EIN
- 911223280
- Establishment ID
- 1378725
- Employer case #
- WC608H0633
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 21:55
- 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.