PHOENIX, AZ —
OSHA Injury Report: 1058 - PARADISE VALLEY AZ
Injury · Days away from work
At a glance
On , an injury at 1058 - PARADISE VALLEY AZ in PHOENIX, AZ 08902 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 1058 - PARADISE VALLEY AZ
- Parent company
- Costco Wholesale
- Street
- 4570 EAST CACTUS ROAD
- City
- PHOENIX
- State
- AZ
- ZIP
- 08902
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 11
- Days restricted or transferred
- 142
Before the incident
clean up in food court
What happened
[REDACTED] was mopping in the food court when she tripped on the floor drain causing her to fall onto her right elbow
Injury or illness
Strain Sprain Elbow Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Elbow Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 315
- Total hours worked
- 473178
- EIN
- 911223280
- Establishment ID
- 1217976
- Employer case #
- WC608G5341
When (timing detail)
- Date of incident
- Time of incident
- 21:00:00.000
- Submitted
- 04MAR24:19:24:00
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.