Phoenix, AZ —
OSHA Injury Report: 10476 Camelback
Injury · Other recordable case
At a glance
On , an injury at 10476 Camelback in Phoenix, AZ 85016 resulted in other recordable case. Employee was s In Store Shopper.
Where did this happen?
- Establishment
- 10476 Camelback
- Street
- 4701 North 20th Street
- City
- Phoenix
- State
- AZ
- ZIP
- 85016
- On-site location
- Back Hallway
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE STATES SQUATTING DOWN TO PUT WATER ON SHELF FOR STAGING LEANED FORWARD TO PUT WATER FURTHER ON SHELF HIT FOREHEAD BLURRED VISION
What happened
Strike Against Step On Stationary or Moving Object s
Injury or illness
Bruise
Object or substance involved
Stationary object
Summary line
contusion on forehead hit forehead on metal shelf
Employee and industry
- Job description
- S In Store Shopper
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 185
- Total hours worked
- 284831
- EIN
- 953096433
- Establishment ID
- 1007275
- Employer case #
- 0005772096
When (timing detail)
- Date of incident
- Shift started
- 13:59:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 28FEB24:22:33:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.