CHAMPAIGN, IL —
OSHA Injury Report: CHAMPAIGN IL DC EmpWorkCtrCd 30000543
Injury · Other recordable case
At a glance
On , an injury at CHAMPAIGN IL DC EmpWorkCtrCd 30000543 in CHAMPAIGN, IL 61822 resulted in other recordable case. Employee was rSR LEAD SMALL FORMAT PFP in confectionery Merchant Wholesalers.
Where did this happen?
- Establishment
- CHAMPAIGN IL DC EmpWorkCtrCd 30000543
- Parent company
- Rolling Frito Lay Sales
- Street
- 3007 WEST CLARK ROAD
- City
- CHAMPAIGN
- State
- IL
- ZIP
- 61822
- On-site location
- Customer Location Parking Lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Servicing account and merchandising
What happened
Fell after slipping on ice injuring his head
Injury or illness
Concussion
Object or substance involved
Hand cart
Summary line
Fell after slipping on ice injuring his head
Employee and industry
- Job description
- RSR LEAD SMALL FORMAT PFP
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 424450 — Confectionery Merchant Wholesalers
- NAICS vintage
- 2022
- Avg employees
- 30
- Total hours worked
- 70050
- EIN
- 752908364
- Establishment ID
- 1491740
- Employer case #
- 4A2501DVW
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 13:30
- Filing year
- 2025
- Submitted
- 27FEB26:12:17:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.