Mesa, AZ —
OSHA Injury Report: 660-00115
Injury · Days away from work
At a glance
On , an injury at 660-00115 in 435 S Ellsworth Rd, Mesa, AZ 85208 resulted in days away from work. Employee was cUSTOMER SVC CL in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 660-00115
- Parent company
- Fry's Food Stores of Arizona
- Street
- 435 S Ellsworth Rd
- City
- Mesa
- State
- AZ
- ZIP
- 85208
- On-site location
- FRONT END BY ICE MACHINE AND OFFICE DOORWAY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 98
Before the incident
WALKING TO THE OFFICE
What happened
There was a rug rolled up across the wall in front of the ice machine when ee walked by and tripped over the rug and hit on the wall and then fell to the ground EE sustained unknown injury to elbow unknown possible other injuries EE was taken by a
Injury or illness
Fracture Left Lower arm Fall on same level FLOOR or DOOR
Object or substance involved
FLOOR DOOR
Summary line
Fracture Left Lower arm Fall on same level FLOOR or DOOR
Employee and industry
- Job description
- CUSTOMER SVC CL
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 154
- Total hours worked
- 219847
- EIN
- 870258768
- Establishment ID
- 966708
- Employer case #
- 852784
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 13:40:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:20:39:00
More injuries at 660-00115
View 660-00115's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.