Surprise, AZ ·
OSHA Injury Report: 1375 - SURPRISE AZ
Injury · Days away from work
At a glance
On , an injury at 1375 - SURPRISE AZ in 16385 W Waddell Rd., 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
- Employees at this establishment (2023 average)
- 387
- Hours worked at this establishment (2023 total)
- 576,819
- EIN
- 911223280
- Establishment ID
- 1217357
- Employer case #
- WC608G5005
When (timing detail)
- Date of incident
- Shift started
- 02:00
- Time of incident
- 03:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1375 - Surprise AZ
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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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