Champaign, IL ·
OSHA Injury Report: 1384 - CHAMPAIGN IL
Injury · Days away from work
At a glance
On , an injury at 1384 - CHAMPAIGN IL in 2002 N Neil St., Champaign, IL 61820 resulted in days away from work. Employee was MGR staff in wholesale Grocer.
Where did this happen?
- Establishment
- 1384 - CHAMPAIGN IL
- Parent company
- Costco Wholesale
- Street
- 2002 N Neil St.
- City
- Champaign
- State
- IL
- ZIP
- 61820
- On-site location
- POS freezer 313 314
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 109
- Days restricted or transferred
- 90
Before the incident
Stocking [REDACTED] yogurt bars inside the freezer
What happened
EE was struck in the legs by a forklift carrying a pallet load Contusions and bruising to left knee
Injury or illness
Bruise or Contusion Knee
Object or substance involved
Forklift
Summary line
Bruise or Contusion Knee Struck Against a Fixed Object Forklift
Employee and industry
- Job description
- MGR STAFF
- SOC code
- 9999: Uncoded
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 206
- Hours worked at this establishment (2023 total)
- 317,018
- EIN
- 911223280
- Establishment ID
- 1217540
- Employer case #
- WC413F2163
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 08:52
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1384 - Champaign IL
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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