Avon, IN ·
OSHA Injury Report: 1577 - AVON IN
Injury · Days away from work
At a glance
On , an injury at 1577 - AVON IN in 8816 Dr. Charles Nelson Dr., Avon, IN 46123 resulted in days away from work. Employee was member service in wholesale Grocer.
Where did this happen?
- Establishment
- 1577 - AVON IN
- Parent company
- Costco Wholesale
- Street
- 8816 Dr. Charles Nelson Dr.
- City
- Avon
- State
- IN
- ZIP
- 46123
- On-site location
- front end by registers
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
Before the incident
walking to break
What happened
Walking to break and went to pick up piece of trash on the floor feet slipped out and fell down to hands and knees
Injury or illness
Inflammation swelling Knee Right Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Knee Right Side Walking Floor Walking Surface
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 9999: Uncoded
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 238
- Hours worked at this establishment (2023 total)
- 364,272
- EIN
- 911223280
- Establishment ID
- 1217685
- Employer case #
- WC80DG0113
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 13:39
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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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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