INDIANAPOLIS, IN —
OSHA Injury Report: 1227 - SOUTH INDIANAPOLIS IN
Injury · Other recordable case
At a glance
On , an injury at 1227 - SOUTH INDIANAPOLIS IN in INDIANAPOLIS, IN 50325 resulted in other recordable case. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 1227 - SOUTH INDIANAPOLIS IN
- Parent company
- Costco Wholesale
- Street
- 4628 E COUNTY LINE ROAD
- City
- INDIANAPOLIS
- State
- IN
- ZIP
- 50325
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking to get a towel to wipe down table
What happened
walking and fell down Slipped on floor
Injury or illness
Inflammation swelling Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Knee Left Side Walking Floor Walking Surface
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
- Avg employees
- 246
- Total hours worked
- 363253
- EIN
- 911223280
- Establishment ID
- 1217641
- Employer case #
- WC80DG1903
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 11:30:00.000
- Submitted
- 04MAR24:19:27:00
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.