Prescott, AZ —
OSHA Injury Report: 110200 Willow Lake Store
Injury · Days away from work
At a glance
On , an injury at 110200 Willow Lake Store in 3155 Lakeview Plaza Ln, Prescott, AZ 86301 resulted in days away from work. Employee was donation Attendant in used Merchandise Retailer.
Where did this happen?
- Establishment
- 110200 Willow Lake Store
- Parent company
- Goodwill of Central and Northern Arizona
- Street
- 3155 Lakeview Plaza Ln
- City
- Prescott
- State
- AZ
- ZIP
- 86301
- On-site location
- 110200
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 14
Before the incident
lifting some boxes of cloth from the donation bin into the donation [REDACTED]
What happened
[REDACTED] was lifting some boxes of cloth from the donation bin into the donation [REDACTED] and felt pain in his back.
Injury or illness
back
Object or substance involved
store merchandise
Summary line
[REDACTED] was lifting some boxes of cloth from the donation bin into the donation [REDACTED] and felt pain in his back.
Employee and industry
- Job description
- Donation Attendant
- SOC code
- 9999 — Uncoded
- NAICS code
- 453310 — Used Merchandise Retailer
- NAICS vintage
- 2017
- Avg employees
- 33
- Total hours worked
- 46423
- EIN
- 860104415
- Establishment ID
- 1400211
- Employer case #
- C 21441
When (timing detail)
- Date of incident
- Time of incident
- 18:30
- Filing year
- 2024
- Submitted
- 03MAR2025:21:28:00
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View 110200 Willow Lake Store's full OSHA safety record →
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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.