Avon, IN ·
OSHA Injury Report: 1577 AVON IN WHSE
Injury · Other recordable case
At a glance
On , an injury at 1577 AVON IN WHSE in 8816 Dr Charles Nelson Dr, Avon, IN 46123 resulted in other recordable case. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 1577 AVON IN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 8816 Dr Charles Nelson Dr
- City
- Avon
- State
- IN
- ZIP
- 46123
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
joking with an employee and was hit in the tooth by RF gun
What happened
EE was hit in mouth with RF gun and broke tooth in half
Injury or illness
Fracture Teeth Left Side
Object or substance involved
RF Gun
Summary line
Fracture Teeth Left Side Object Handled RF Gun
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 254
- Hours worked at this establishment (2024 total)
- 385,402
- EIN
- 911223280
- Establishment ID
- 1378920
- Employer case #
- WC80DG8334
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 09:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 1577 Avon in Whse
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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