PHOENIX, AZ —
OSHA Injury Report: 1058 - PARADISE VALLEY AZ
Injury · Other recordable case
At a glance
On , an injury at 1058 - PARADISE VALLEY AZ in PHOENIX, AZ 08902 resulted in other recordable case. 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
cleaning
What happened
While cleaning drain tried to dislodge debris and hand slipped knuckle was lacerated
Injury or illness
Abrasion irritation Hand Right Side
Object or substance involved
Foreign Body
Summary line
Abrasion irritation Hand Right Side Caught In or Between Foreign Body
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 #
- WC608G4214
When (timing detail)
- Date of incident
- Shift started
- 16:45:00.000
- Time of incident
- 22:27:00.000
- 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.