Phoenix, AZ —
OSHA Injury Report: 110055 19th Ave Store
Injury · Job transfer or restriction
At a glance
On , an injury at 110055 19th Ave Store in Phoenix, AZ 85027 resulted in job transfer or restriction. Employee was assistant Store Manager in used Merchandise Retailer.
Where did this happen?
- Establishment
- 110055 19th Ave Store
- Street
- 18631 N 19th Ave
- City
- Phoenix
- State
- AZ
- ZIP
- 85027
- On-site location
- Breakroom
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 13
Before the incident
sorting cloth running front end.
What happened
knee water on the floor slipped in puddle of water
Injury or illness
knee
Object or substance involved
water on the floor
Summary line
knee water on the floor slipped in puddle of water
Employee and industry
- Job description
- Assistant Store Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 453310 — Used Merchandise Retailer
- NAICS vintage
- 2017
- Avg employees
- 29
- Total hours worked
- 41334
- EIN
- 860104415
- Establishment ID
- 1400143
- Employer case #
- C-34804
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 15:00
- Filing year
- 2025
- Submitted
- 01MAR26:23:54:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.