Avon, IN ·
OSHA Injury Report: 1577 - AVON IN
Injury · Other recordable case
At a glance
On , an injury at 1577 - AVON IN in 8816 Dr. Charles Nelson Dr., Avon, IN 46123 resulted in other recordable case. Employee was forklift driver 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
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Loading a go back cart
What happened
Picking up a heavy object off of the floor and went to put back in cart and lower back hurt after standing up
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower Lifting Merchandise
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- 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 #
- WC80DG4517
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- 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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