Surprise, AZ —
OSHA Injury Report: 1375 - SURPRISE AZ
Injury · Days away from work
At a glance
On , an injury at 1375 - SURPRISE AZ in Surprise, AZ 85043 resulted in days away from work. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 1375 - SURPRISE AZ
- Parent company
- Costco Wholesale
- Street
- 16385 W Waddell Rd.
- City
- Surprise
- State
- AZ
- ZIP
- 85043
- On-site location
- WALK IN FREEZER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
Driving forklift out of freezer
What happened
Hit head on forklift
Injury or illness
Headache Head
Object or substance involved
Forklift
Summary line
Headache Head Struck Against a Fixed Object Forklift
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 387
- Total hours worked
- 576819
- EIN
- 911223280
- Establishment ID
- 1217357
- Employer case #
- WC608G5005
When (timing detail)
- Date of incident
- Shift started
- 2:00:00.000
- Time of incident
- 3:00:00.000
- Submitted
- 04MAR24:19:28:00
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.