Pinetop Lakeside, AZ —
OSHA Injury Report: 110214 Pinetop Store
Injury · Job transfer or restriction
At a glance
On , an injury at 110214 Pinetop Store in Pinetop Lakeside, AZ 85935 resulted in job transfer or restriction. Employee was customer Service Manager in used Merchandise Retailer.
Where did this happen?
- Establishment
- 110214 Pinetop Store
- Parent company
- Goodwill of Central and Northern Arizona
- Street
- 20 E White Mountain Blvd
- City
- Pinetop Lakeside
- State
- AZ
- ZIP
- 85935
- On-site location
- donation door
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
He was carrying a 40 pound bag of cloth
What happened
He was carrying a 40 pound bag of cloth which ripped jerking his arm and dislocating it.
Injury or illness
right shoulder
Object or substance involved
bag of cloth
Summary line
He was carrying a 40 pound bag of cloth which ripped jerking his arm and dislocating it.
Employee and industry
- Job description
- Customer Service Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 453310 — Used Merchandise Retailer
- NAICS vintage
- 2017
- Avg employees
- 28
- Total hours worked
- 28514
- EIN
- 860104415
- Establishment ID
- 1400221
- Employer case #
- C 21791
When (timing detail)
- Date of incident
- Time of incident
- 15:00
- 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.