Decatur, IL —
OSHA Injury Report: ABC Supply 622
Injury · Days away from work
At a glance
On , an injury at ABC Supply 622 in Decatur, IL 62521 resulted in days away from work. Employee was aBC Delivery Services Manager in roofing, Siding and Insulation Merchant Wholesalers.
Where did this happen?
- Establishment
- ABC Supply 622
- Parent company
- 721 MW Region
- Street
- 4155 N Commercial Crossing
- City
- Decatur
- State
- IL
- ZIP
- 62521
- On-site location
- Warehouse
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
walking in warehouse
What happened
slipped and injured right forearm and shoulder
Injury or illness
RT forearm RT shoulder strain Shoulders Slip and FallInjury
Object or substance involved
Was checking an order when he slipped on concrete amp landed on his right forearm and shoulder
Summary line
slipped and injured right forearm and shoulder
Employee and industry
- Job description
- ABC Delivery Services Manager
- SOC code
- 9999 — Uncoded
- NAICS code
- 423330 — Roofing, Siding and Insulation Merchant Wholesalers
- NAICS vintage
- 2022
- Avg employees
- 18
- Total hours worked
- 37850
- EIN
- 391413708
- Establishment ID
- 1308114
- Employer case #
- ABC2403777
When (timing detail)
- Date of incident
- Shift started
- 8:20
- Time of incident
- 11:00
- Filing year
- 2024
- Submitted
- 21FEB2025:21:27:00
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.