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Safety Incidents OSHA Severe Injury Reports · 2015–2025

PHOENIX, AZ —

OSHA Injury Report: 1058 - PARADISE VALLEY AZ

Injury · Days away from work

At a glance

On , an injury at 1058 - PARADISE VALLEY AZ in 4570 EAST CACTUS ROAD, PHOENIX, AZ 08902 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.

Where did this happen?

Establishment
1058 - PARADISE VALLEY AZ
Parent company
Costco Wholesale
Street
4570 EAST CACTUS ROAD
City
PHOENIX
State
AZ
ZIP
08902
On-site location
FOOD COURT

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
11
Days restricted or transferred
142

Before the incident

clean up in food court

What happened

[REDACTED] was mopping in the food court when she tripped on the floor drain causing her to fall onto her right elbow

Injury or illness

Strain Sprain Elbow Right Side

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Elbow Right Side Fall from Same Level Floor Walking Surface

Employee and industry

Job description
FOOD SERVICE
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
315
Total hours worked
473178
EIN
911223280
Establishment ID
1217976
Employer case #
WC608G5341

When (timing detail)

Date of incident
Time of incident
21:00:00.000
Filing year
2023
Submitted
04MAR24:19:24:00

More injuries at 1058 - PARADISE VALLEY AZ

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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.