SALT LAKE CITY, UT ·
OSHA Injury Report: 0113 - SALT LAKE CITY UT
Injury · Job transfer or restriction
At a glance
On , an injury at 0113 - SALT LAKE CITY UT in 1818 SOUTH 300 WEST, SALT LAKE CITY, UT 96825 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0113 - SALT LAKE CITY UT
- Parent company
- Costco Wholesale
- Street
- 1818 SOUTH 300 WEST
- City
- SALT LAKE CITY
- State
- UT
- ZIP
- 96825
- On-site location
- Deli
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
Chopping chicken
What happened
Was Chopping Chicken and felt a pain on left shoulder
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Shoulder Left Side Repetitive Motion Tool Equipment Unclassified
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
- Employees at this establishment (2023 average)
- 525
- Hours worked at this establishment (2023 total)
- 728,976
- EIN
- 911223280
- Establishment ID
- 1217107
- Employer case #
- WC608G2410
When (timing detail)
- Date of incident
- Shift started
- 11:30
- Time of incident
- 18:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0113 - Salt Lake City UT
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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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