Prescott, AZ —
OSHA Injury Report: 110200 Willow Lake Store
Injury · Days away from work
At a glance
On , an injury at 110200 Willow Lake Store in Prescott, AZ 86301 resulted in days away from work. Employee was donation Attendant in used Merchandise Retailer.
Where did this happen?
- Establishment
- 110200 Willow Lake Store
- Parent company
- Goodwill of Central and Northern Arizona
- Street
- 3155 Lakeview Plaza Ln
- City
- Prescott
- State
- AZ
- ZIP
- 86301
- On-site location
- 110200
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 14
Before the incident
lifting some boxes of cloth from the donation bin into the donation [REDACTED]
What happened
[REDACTED] was lifting some boxes of cloth from the donation bin into the donation [REDACTED] and felt pain in his back.
Injury or illness
back
Object or substance involved
store merchandise
Summary line
[REDACTED] was lifting some boxes of cloth from the donation bin into the donation [REDACTED] and felt pain in his back.
Employee and industry
- Job description
- Donation Attendant
- SOC code
- 9999 — Uncoded
- NAICS code
- 453310 — Used Merchandise Retailer
- NAICS vintage
- 2017
- Avg employees
- 33
- Total hours worked
- 46423
- EIN
- 860104415
- Establishment ID
- 1400211
- Employer case #
- C 21441
When (timing detail)
- Date of incident
- Time of incident
- 18:30
- 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.