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Safety Incidents OSHA Severe Injury Reports · 2015–2025

CHAMPLAIN, NY —

OSHA Injury Report: CHAMPLAIN 220

Injury · Other recordable case

At a glance

On , an injury at CHAMPLAIN 220 in 860 STATE RT 11, CHAMPLAIN, NY 12919 resulted in other recordable case. Employee was aSST NIGHT MGR VOL III 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
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Using power jack to put away pallet of water

What happened

Employee alleges the handle slipped out of his hand and it hurt his right thumbhand

Injury or illness

OPERATINGDRIVING

Object or substance involved

Power jack

Summary line

Strained right thumbhand

Employee and industry

Job description
ASST NIGHT MGR VOL III
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
445110 — Grocery Stores
NAICS vintage
2022
Avg employees
75
Total hours worked
92479
EIN
140724820
Establishment ID
1290870
Employer case #
2400638

When (timing detail)

Date of incident
Shift started
21:00
Time of incident
3:45
Filing year
2024
Submitted
25FEB2025:16:28:00

More injuries at CHAMPLAIN 220

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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.