Surprise, AZ —
OSHA Injury Report: 110109 Surprise Store
Injury · Job transfer or restriction
At a glance
On , an injury at 110109 Surprise Store in Surprise, AZ 85374 resulted in job transfer or restriction. Employee was assistant Store Manager in used Merchandise Retailer.
Where did this happen?
- Establishment
- 110109 Surprise Store
- Street
- 14063 W Grand Ave
- City
- Surprise
- State
- AZ
- ZIP
- 85374
- On-site location
- N/A
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
walking in from break
What happened
shin glass Workers was walking when another associate dropped a piece of glass from a piece of furniture and it bounced and hit Shin
Injury or illness
shin
Object or substance involved
glass
Summary line
shin glass Workers was walking when another associate dropped a piece of glass from a piece of furniture and it bounced and hit Shin
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
- 52
- Total hours worked
- 69043
- EIN
- 860104415
- Establishment ID
- 1400183
- Employer case #
- C-36624
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 13:00
- 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.