PHOENIX, AZ —
OSHA Injury Report: 0490 - NORTH PHOENIX AZ
Injury · Days away from work
At a glance
On , an injury at 0490 - NORTH PHOENIX AZ in PHOENIX, AZ 89144 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0490 - NORTH PHOENIX AZ
- Parent company
- Costco Wholesale
- Street
- 19001 NORTH 27TH AVENUE
- City
- PHOENIX
- State
- AZ
- ZIP
- 89144
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 56
- Days restricted or transferred
- 74
Before the incident
Working in the department
What happened
Employee was cleaning dishes at close in [REDACTED] She lifted the prep table cutting board and strained her left shoulder
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Shoulder Left Side Lifting Tool Equipment Unclassified
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 374
- Total hours worked
- 552572
- EIN
- 911223280
- Establishment ID
- 1217319
- Employer case #
- WC608G5341
When (timing detail)
- Date of incident
- Shift started
- 17:00:00.000
- Time of incident
- 21:00:00.000
- 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.