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Safety Incidents OSHA Severe Injury Reports · 2015–2025

CHAMPLAIN, NY —

OSHA Injury Report: CHAMPLAIN #220

Injury · Job transfer or restriction

At a glance

On , an injury at CHAMPLAIN #220 in 860 STATE RT 11, CHAMPLAIN, NY 12919 resulted in job transfer or restriction. 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
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
6

Before the incident

WALKING ONTO TRAILER

What happened

TEAMMATE WALKED ONTO TRAILER TO CHECK PALLET NUMBERS SLIPPED ON

Injury or illness

SLIP AND FALL FROM LIQUID OR GREASE SPILL

Object or substance involved

GREASE

Summary line

BRUISED KNEE-

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
95979
EIN
140724820
Establishment ID
188381
Employer case #
2400204

When (timing detail)

Date of incident
Shift started
21:00:00.000
Time of incident
0:30:00.000
Filing year
2023
Submitted
15FEB24:17:00:00

More injuries at CHAMPLAIN #220

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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 — no per-record IMIS deep link exists.