PHOENIX, AZ —
OSHA Injury Report: 1058 - PARADISE VALLEY AZ
Injury · Job transfer or restriction
At a glance
On , an injury at 1058 - PARADISE VALLEY AZ in PHOENIX, AZ 08902 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK 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
- Roc chicken room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
working in home department
What happened
Repetitive motion working in chicken room
Injury or illness
Strain Sprain Arm Right Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Strain Sprain Arm Right Side Holding or Carrying Deli Rotisserie Skewer
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 315
- Total hours worked
- 473178
- EIN
- 911223280
- Establishment ID
- 1217976
- Employer case #
- WC608G2265
When (timing detail)
- Date of incident
- Shift started
- 6:30:00.000
- Time of incident
- 14:00:00.000
- 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.