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 receiver shipper 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
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 68
Before the incident
headed to lunch
What happened
Employee was walking down main asile pant s snag on pallet and employee fell
Injury or illness
Fracture Shoulder Right Side
Object or substance involved
Pallet
Summary line
Fracture Shoulder Right Side Caught by Fixed Object Pallet
Employee and industry
- Job description
- RECEIVER SHIPPER
- SOC code
- 43-5071: Shipping, Receiving, and Inventory Clerks
- 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 #
- WC608G7211
When (timing detail)
- Date of incident
- Shift started
- 04:05
- Time of incident
- 08:30
- 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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