PHOENIX, AZ —
OSHA Injury Report: 0465 - THOMAS ROAD AZ
Injury · Days away from work
At a glance
On , an injury at 0465 - THOMAS ROAD AZ in PHOENIX, AZ 94928 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0465 - THOMAS ROAD AZ
- Parent company
- Costco Wholesale
- Street
- 4502 EAST OAK STREET
- City
- PHOENIX
- State
- AZ
- ZIP
- 94928
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 9
- Days restricted or transferred
- 32
Before the incident
dishes
What happened
Cleaning dishes in chicken room took a step backwards and hyper extended his right knee
Injury or illness
Strain Sprain Knee Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Knee Right Side Stepped In On or Off 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
- Avg employees
- 327
- Total hours worked
- 500384
- EIN
- 911223280
- Establishment ID
- 1217166
- Employer case #
- WC608G5506
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 20:40:00.000
- Submitted
- 04MAR24:19:35:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.