Surprise, AZ —
OSHA Injury Report: 110109 Surprise Store
Injury · Days away from work
At a glance
On , an injury at 110109 Surprise Store in Surprise, AZ 85374 resulted in days away from work. Employee was retail Sales Cashier in used Merchandise Retailer.
Where did this happen?
- Establishment
- 110109 Surprise Store
- Parent company
- Goodwill of Central and Northern Arizona
- Street
- 14063 W Grand Ave
- City
- Surprise
- State
- AZ
- ZIP
- 85374
- On-site location
- Miscel area
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 52
Before the incident
came back from lunch and rolled rack out to be put away
What happened
slipped on sand and fell to floor
Injury or illness
lower back and back of head.
Object or substance involved
sand on the floor
Summary line
slipped on sand and fell to floor
Employee and industry
- Job description
- Retail Sales Cashier
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 453310 — Used Merchandise Retailer
- NAICS vintage
- 2017
- Avg employees
- 46
- Total hours worked
- 63113
- EIN
- 860104415
- Establishment ID
- 1400183
- Employer case #
- C 17989
When (timing detail)
- Date of incident
- Time of incident
- 13:15
- Filing year
- 2024
- Submitted
- 03MAR2025:21:28:00
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.