SURPRISE, AZ ·
OSHA Injury Report: ABS-0017-0016-00977 FAC-00977-SURPRISE-AZ
Injury · Days away from work
At a glance
On , an injury at ABS-0017-0016-00977 FAC-00977-SURPRISE-AZ in 14551 WEST GRAND AVE, SURPRISE, AZ 85374 resulted in days away from work. Employee was bakery Producti in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- ABS-0017-0016-00977 FAC-00977-SURPRISE-AZ
- Parent company
- Albertson's LLC
- Street
- 14551 WEST GRAND AVE
- City
- SURPRISE
- State
- AZ
- ZIP
- 85374
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
FOOD PRODUCT PREP
What happened
slip trip and fall
Injury or illness
Fracture Right Elbow Fall FLOOR
Object or substance involved
FLOOR
Summary line
slip trip and fall
Employee and industry
- Job description
- Bakery Producti
- SOC code
- 51-3011: Bakers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 112
- Hours worked at this establishment (2023 total)
- 154,866
- EIN
- 820184434
- Establishment ID
- 1140225
- Employer case #
- 63886
When (timing detail)
- Date of incident
- Shift started
- 02:00
- Time of incident
- 03:55
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-20
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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