Goodyear, AZ —
OSHA Injury Report: AZ02 Factor
Injury · Other recordable case
At a glance
On , an injury at AZ02 Factor in Goodyear, AZ 85338 resulted in other recordable case. Employee was quality Team Member in prepared meals, perishable, packaged for individual resale.
Where did this happen?
- Establishment
- AZ02 Factor
- Parent company
- Factor 75 LLC
- Street
- 14170 W Yuma Rd
- City
- Goodyear
- State
- AZ
- ZIP
- 85338
- On-site location
- Out side kitchen shoe cleaner
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking out of kitchen into gowning area
What happened
TM slipped on boot scrubber
Injury or illness
1. Contusion of right forearm subsequent encounter (S50.11XD). 2. Fall on same level from slipping tripping and stumbling without subsequent striking against object (W01.0XXA). 3. Unspecified sprain of right wrist initial encounter (S63.501A).
Object or substance involved
boot scrubber
Summary line
right palm shoulder and hip from a slip and fall
Employee and industry
- Job description
- Quality Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 311991 — Prepared meals, perishable, packaged for individual resale
- NAICS vintage
- 2022
- Avg employees
- 1009
- Total hours worked
- 671919
- EIN
- 461178672
- Establishment ID
- 1244392
- Employer case #
- AZ20233419
When (timing detail)
- Date of incident
- Shift started
- 21:56:00.000
- Time of incident
- 6:30:00.000
- Submitted
- 18JUN24:23:06:00
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.