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Safety Incidents OSHA Severe Injury Reports · 2015–2025

CHAMPLAIN, NY —

OSHA Injury Report: CHAMPLAIN 220

Injury · Days away from work

At a glance

On , an injury at CHAMPLAIN 220 in 860 STATE RT 11, CHAMPLAIN, NY 12919 resulted in days away from work. Employee was nIGHT MGRNVOL IV in grocery Stores.

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Where did this happen?

Establishment
CHAMPLAIN 220
Parent company
GOLUB CORPORATION
Street
860 STATE RT 11
City
CHAMPLAIN
State
NY
ZIP
12919
On-site location
BACK ROOM

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
5

Before the incident

Using a pallet jack to move a pallet of product

What happened

Employee alleges Partial pallet fell off of the top of the water pallet When he went to lift it up off the floor he strained his low back

Injury or illness

LIFTLOADLOWER

Object or substance involved

Pallet and product on floor

Summary line

strained low back when lifting case of pallet of product off the floor

Employee and industry

Job description
NIGHT MGRNVOL IV
SOC code
9999 — Uncoded
NAICS code
445110 — Grocery Stores
NAICS vintage
2022
Avg employees
75
Total hours worked
92479
EIN
140724820
Establishment ID
1290870
Employer case #
2400512

When (timing detail)

Date of incident
Shift started
21:00
Time of incident
4:36
Filing year
2024
Submitted
25FEB2025:16:28:00

More injuries at CHAMPLAIN 220

View CHAMPLAIN 220's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.