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 aSST NIGHT MGR VOL III 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
WALKING ONTO TRAILER
What happened
TEAMMATE WALKED ONTO TRAILER TO CHECK PALLET NUMBERS SLIPPED ON
Injury or illness
SLIP AND FALL FROM LIQUID OR GREASE SPILL
Object or substance involved
GREASE
Summary line
BRUISED KNEE-
Employee and industry
- Job description
- ASST NIGHT MGR VOL III
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Grocery Stores
- NAICS vintage
- 2022
- Avg employees
- 75
- Total hours worked
- 95979
- EIN
- 140724820
- Establishment ID
- 188381
- Employer case #
- 2400204
When (timing detail)
- Date of incident
- Shift started
- 21:00:00.000
- Time of incident
- 0:30:00.000
- 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.