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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Surprise, AZ —

OSHA Injury Report: 110109 Surprise Store

Injury · Days away from work

At a glance

On , an injury at 110109 Surprise Store in 14063 W Grand Ave, Surprise, AZ 85374 resulted in days away from work. Employee was retail Sales Cashier in used Merchandise Retailer.

Where did this happen?

Establishment
110109 Surprise Store
Parent company
Goodwill of Central and Northern Arizona
Street
14063 W Grand Ave
City
Surprise
State
AZ
ZIP
85374
On-site location
Miscel area

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3
Days restricted or transferred
52

Before the incident

came back from lunch and rolled rack out to be put away

What happened

slipped on sand and fell to floor

Injury or illness

lower back and back of head.

Object or substance involved

sand on the floor

Summary line

slipped on sand and fell to floor

Employee and industry

Job description
Retail Sales Cashier
SOC code
41-2031 — Retail Salespersons
NAICS code
453310 — Used Merchandise Retailer
NAICS vintage
2017
Avg employees
46
Total hours worked
63113
EIN
860104415
Establishment ID
1400183
Employer case #
C 17989

When (timing detail)

Date of incident
Time of incident
13:15
Filing year
2024
Submitted
03MAR2025:21:28:00

More injuries at 110109 Surprise Store

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.