Champaign, IL —
OSHA Injury Report: 1384 CHAMPAIGN IL WHSE
Injury · Other recordable case
At a glance
On , an injury at 1384 CHAMPAIGN IL WHSE in Champaign, IL 61820 resulted in other recordable case. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1384 CHAMPAIGN IL WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2002 N Neil St.
- City
- Champaign
- State
- IL
- ZIP
- 61820
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
cleaning the dept
What happened
Employee states they were cleaning the production room they forgot they picked up the drain cover and fell into drain
Injury or illness
Strain Sprain Knee Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Knee Right Side Fall from Same Level Floor Walking Surface
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
- 215
- Total hours worked
- 334320
- EIN
- 911223280
- Establishment ID
- 1378894
- Employer case #
- WC413G713
When (timing detail)
- Date of incident
- Shift started
- 16:30
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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.