PHOENIX, AZ —
OSHA Injury Report: 0490 - NORTH PHOENIX AZ
Injury · Other recordable case
At a glance
On , an injury at 0490 - NORTH PHOENIX AZ in PHOENIX, AZ 89144 resulted in other recordable case. Employee was mEMBERSHIP CLERK 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
- Dock entrance
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
rushing to get in so he could start his shift and not be late
What happened
While coming into the warehouse to start his shift [REDACTED] tripped when trying to get over the forks of a forklift
Injury or illness
Laceration Ear Left Side
Object or substance involved
Floor Walking Surface
Summary line
Laceration Ear Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- MEMBERSHIP CLERK
- 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 #
- WC608G2702
When (timing detail)
- Date of incident
- Shift started
- 9:17:00.000
- Time of incident
- 9:15:00.000
- 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.