Peoria, AZ ·
OSHA Injury Report: 110191 Lake Pleasant Store
Injury · Job transfer or restriction
At a glance
On , an injury at 110191 Lake Pleasant Store in 20713 N 83rd Ave, Peoria, AZ 85382 resulted in job transfer or restriction. Employee was retail Merchandise Processor in used Merchandise Retailer.
Where did this happen?
- Establishment
- 110191 Lake Pleasant Store
- Parent company
- Goodwill of Central and Northern Arizona
- Street
- 20713 N 83rd Ave
- City
- Peoria
- State
- AZ
- ZIP
- 85382
- On-site location
- shoe station
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 50
Before the incident
just finished gaylords
What happened
fell in on the door of the gaylord on her knee
Injury or illness
knee
Object or substance involved
Gaylord
Summary line
fell in on the door of the gaylord on her knee
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)
- 56
- Hours worked at this establishment (2024 total)
- 77,802
- EIN
- 860104415
- Establishment ID
- 1400206
- Employer case #
- C 20918
When (timing detail)
- Date of incident
- Time of incident
- 12:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-03-03
More injuries at 110191 Lake Pleasant 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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