Mesa, AZ ·
OSHA Injury Report: 110050 Signal Butte Store
Injury · Job transfer or restriction
At a glance
On , an injury at 110050 Signal Butte Store in 10860 E. Guadalupe Road, Mesa, AZ 85209 resulted in job transfer or restriction. Employee was retail Merchandise Processor in used Merchandise Retailer.
Where did this happen?
- Establishment
- 110050 Signal Butte Store
- Parent company
- Goodwill of Central and Northern Arizona
- Street
- 10860 E. Guadalupe Road
- City
- Mesa
- State
- AZ
- ZIP
- 85209
- On-site location
- store
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
pulling pushing a pallet [REDACTED]
What happened
He felt a pull in his Lower back groin area.
Injury or illness
back
Object or substance involved
pallet jack
Summary line
He felt a pull in his Lower back groin area.
Employee and industry
- Job description
- Retail Merchandise Processor
- SOC code
- 41-2031: Retail Salespersons
- NAICS code
- 453310: Used Merchandise Retailer
- NAICS vintage
- 2017
- Employees at this establishment (2024 average)
- 43
- Hours worked at this establishment (2024 total)
- 56,985
- EIN
- 860104415
- Establishment ID
- 1400142
- Employer case #
- C 16185
When (timing detail)
- Date of incident
- Time of incident
- 11:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-03-03
More injuries at 110050 Signal Butte Store
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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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