Queen Creek, AZ ·
OSHA Injury Report: 1620 - QUEEN CREEK AZ
Injury · Job transfer or restriction
At a glance
On , an injury at 1620 - QUEEN CREEK AZ in 20260 S Ellsworth Rd., Queen Creek, AZ 85142 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 1620 - QUEEN CREEK AZ
- Parent company
- Costco Wholesale
- Street
- 20260 S Ellsworth Rd.
- City
- Queen Creek
- State
- AZ
- ZIP
- 85142
- On-site location
- Service Deli
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 38
Before the incident
cleaning the drains
What happened
Foot fell into drain body hit the floor
Injury or illness
Bruise or Contusion Hand Left Side
Object or substance involved
Rack
Summary line
Strain Sprain Hand Left Side Fall from Same Level 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)
- 315
- Hours worked at this establishment (2023 total)
- 493,951
- EIN
- 911223280
- Establishment ID
- 1217355
- Employer case #
- WC608G5216
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 17:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1620 - Queen Creek 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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