Champaign, IL —
OSHA Injury Report: 1384 - CHAMPAIGN IL
Injury · Days away from work
At a glance
On , an injury at 1384 - CHAMPAIGN IL in 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
- Avg employees
- 206
- Total hours worked
- 317018
- EIN
- 911223280
- Establishment ID
- 1217540
- Employer case #
- WC413F2163
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 8:52:00.000
- Submitted
- 04MAR24:19:29:00
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.