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 service deli clerk 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 COOLER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 72
Before the incident
Grabbing a case of produce from steel
What happened
Using a blue stool to grab a box that was over head Lost balance and jumped off to avoid falling Landing on one foot
Injury or illness
Headache Head
Object or substance involved
Floor Walking Surface
Summary line
Headache Head Fall from Stairs Floor Walking Surface
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)
- 387
- Hours worked at this establishment (2023 total)
- 576,819
- EIN
- 911223280
- Establishment ID
- 1217357
- Employer case #
- WC608G7836
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 08:00
- 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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