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INDIANAPOLIS, IN —

OSHA Injury Report: 1227 - SOUTH INDIANAPOLIS IN

Injury · Other recordable case

At a glance

On , an injury at 1227 - SOUTH INDIANAPOLIS IN in 4628 E COUNTY LINE ROAD, INDIANAPOLIS, IN 50325 resulted in other recordable case. Employee was sUP HOURLY in wholesale Grocer.

Where did this happen?

Establishment
1227 - SOUTH INDIANAPOLIS IN
Parent company
Costco Wholesale
Street
4628 E COUNTY LINE ROAD
City
INDIANAPOLIS
State
IN
ZIP
50325
On-site location
SERVICE DELI

What was the outcome?

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

Before the incident

Walking to get a towel to wipe down table

What happened

walking and fell down Slipped on floor

Injury or illness

Inflammation swelling Knee Left Side

Object or substance involved

Floor Walking Surface

Summary line

Inflammation swelling Knee Left Side Walking Floor Walking Surface

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
246
Total hours worked
363253
EIN
911223280
Establishment ID
1217641
Employer case #
WC80DG1903

When (timing detail)

Date of incident
Shift started
8:00:00.000
Time of incident
11:30:00.000
Filing year
2023
Submitted
04MAR24:19:27:00

More injuries at 1227 - SOUTH INDIANAPOLIS IN

View 1227 - SOUTH INDIANAPOLIS IN's full OSHA safety record →

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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.