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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Avon, IN —

OSHA Injury Report: 1577 AVON IN WHSE

Injury · Other recordable case

At a glance

On , an injury at 1577 AVON IN WHSE in 8816 Dr Charles Nelson Dr, Avon, IN 46123 resulted in other recordable case. Employee was sUP HOURLY in wholesale Grocer.

Where did this happen?

Establishment
1577 AVON IN WHSE
Parent company
COSTCO WHOLESALE
Street
8816 Dr Charles Nelson Dr
City
Avon
State
IN
ZIP
46123
On-site location
RECEIVING

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

joking with an employee and was hit in the tooth by RF gun

What happened

EE was hit in mouth with RF gun and broke tooth in half

Injury or illness

Fracture Teeth Left Side

Object or substance involved

RF Gun

Summary line

Fracture Teeth Left Side Object Handled RF Gun

Employee and industry

Job description
SUP HOURLY
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
254
Total hours worked
385402
EIN
911223280
Establishment ID
1378920
Employer case #
WC80DG8334

When (timing detail)

Date of incident
Shift started
8:00
Time of incident
9:00
Filing year
2024
Submitted
28FEB2025:21:44:00

More injuries at 1577 AVON IN WHSE

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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.