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PHOENIX, AZ —

OSHA Injury Report: 0490 - NORTH PHOENIX AZ

Injury · Days away from work

At a glance

On , an injury at 0490 - NORTH PHOENIX AZ in 19001 NORTH 27TH AVENUE, PHOENIX, AZ 89144 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.

Where did this happen?

Establishment
0490 - NORTH PHOENIX AZ
Parent company
Costco Wholesale
Street
19001 NORTH 27TH AVENUE
City
PHOENIX
State
AZ
ZIP
89144
On-site location
FOOD SERVICE

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
11
Days restricted or transferred
8

Before the incident

Putting chicken in oven

What happened

Putting a skewer of chicken into a rotissere oven

Injury or illness

Strain Sprain Back Lower

Object or substance involved

Deli Rotisserie Skewer

Summary line

Strain Sprain Back Lower Lifting Deli Rotisserie Skewer

Employee and industry

Job description
SERVICE DELI CLERK
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
374
Total hours worked
552572
EIN
911223280
Establishment ID
1217319
Employer case #
WC608G6862

When (timing detail)

Date of incident
Shift started
13:30:00.000
Time of incident
13:45:00.000
Submitted
04MAR24:19:35:00

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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.