Surprise, AZ ·
OSHA Injury Report: 1375 - SURPRISE AZ
Injury · Job transfer or restriction
At a glance
On , an injury at 1375 - SURPRISE AZ in 16385 W Waddell Rd., Surprise, AZ 85043 resulted in job transfer or restriction. Employee was member service 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
- entrance
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 29
Before the incident
cleaning and organizing the fence display
What happened
employee pull a case of vodka and feel her shoulder and heard it crack and then had slight discomfort
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Left Side Pulling Merchandise
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 9999: Uncoded
- 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 #
- WC608G6425
When (timing detail)
- Date of incident
- Shift started
- 09:30
- Time of incident
- 14:00
- 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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