PHOENIX, AZ —
OSHA Injury Report: 0465 - THOMAS ROAD AZ
Injury · Job transfer or restriction
At a glance
On , an injury at 0465 - THOMAS ROAD AZ in PHOENIX, AZ 94928 resulted in job transfer or restriction. 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 34
Before the incident
Skewering chickens
What happened
Skewering chickens and felt a sharp pain in my right elbow
Injury or illness
Strain Sprain Elbow Right Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Strain Sprain Elbow Right Side Lifting Deli Rotisserie Skewer
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 #
- WC608G6171
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 18:30:00.000
- 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.