CHAMPLAIN, NY —
OSHA Injury Report: CHAMPLAIN #220
Injury · Job transfer or restriction
At a glance
On , an injury at CHAMPLAIN #220 in CHAMPLAIN, NY 12919 resulted in job transfer or restriction. Employee was dELI CLERKPT 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
- DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 39
Before the incident
MOVING DELI SLICER TO CLEAN UNDER IT
What happened
MOVING SLICER AND FELT A POP IN LOWER STOMACH AREA EMPLOYEE HAD
Injury or illness
LIFTLOADLOWER
Object or substance involved
DELI SLICER
Summary line
FELT A POP IN LOWER STOMACH AREA
Employee and industry
- Job description
- DELI CLERKPT
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Grocery Stores
- NAICS vintage
- 2022
- Avg employees
- 75
- Total hours worked
- 95979
- EIN
- 140724820
- Establishment ID
- 188381
- Employer case #
- 2400063
When (timing detail)
- Date of incident
- Shift started
- 11:30:00.000
- Time of incident
- 20:00:00.000
- Submitted
- 15FEB24:17:00:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.