Surprise, AZ ·
OSHA Injury Report: 1375 - SURPRISE AZ
Injury · Other recordable case
At a glance
On , an injury at 1375 - SURPRISE AZ in 16385 W Waddell Rd., Surprise, AZ 85043 resulted in other recordable case. 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
- WALK IN FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
taking temps
What happened
taking freezer temps for hourly floor walk when door scraped arm and cut it
Injury or illness
Laceration Arm Right Side
Object or substance involved
Door Roll up Door
Summary line
Laceration Arm Right Side Caught In or Between Door Roll up Door
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 #
- WC608G5979
When (timing detail)
- Date of incident
- Shift started
- 10:45
- Time of incident
- 15:30
- 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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