CHAMPLAIN, NY —
OSHA Injury Report: CHAMPLAIN 220
Injury · Days away from work
At a glance
On , an injury at CHAMPLAIN 220 in CHAMPLAIN, NY 12919 resulted in days away from work. Employee was nIGHT MGRNVOL IV in grocery Stores.
Where did this happen?
- Establishment
- CHAMPLAIN 220
- Parent company
- GOLUB CORPORATION
- Street
- 860 STATE RT 11
- City
- CHAMPLAIN
- State
- NY
- ZIP
- 12919
- On-site location
- BACK ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
Using a pallet jack to move a pallet of product
What happened
Employee alleges Partial pallet fell off of the top of the water pallet When he went to lift it up off the floor he strained his low back
Injury or illness
LIFTLOADLOWER
Object or substance involved
Pallet and product on floor
Summary line
strained low back when lifting case of pallet of product off the floor
Employee and industry
- Job description
- NIGHT MGRNVOL IV
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Grocery Stores
- NAICS vintage
- 2022
- Avg employees
- 75
- Total hours worked
- 92479
- EIN
- 140724820
- Establishment ID
- 1290870
- Employer case #
- 2400512
When (timing detail)
- Date of incident
- Shift started
- 21:00
- Time of incident
- 4:36
- Filing year
- 2024
- Submitted
- 25FEB2025:16:28:00
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.