Carroll, IA ·
OSHA Injury Report: FAREWAY STORES, INC. 409 CARROLL
Injury · Other recordable case
At a glance
On , an injury at FAREWAY STORES, INC. 409 CARROLL in 709 Monterey, Carroll, IA 51401 resulted in other recordable case. Employee was tegan Mauch in grocery stores.
Where did this happen?
- Establishment
- FAREWAY STORES, INC. 409 CARROLL
- Parent company
- FAREWAY STORES, INC.
- Street
- 709 Monterey
- City
- Carroll
- State
- IA
- ZIP
- 51401
- On-site location
- Back Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking across back room
What happened
Tripped over his own feet and fell into back door
Injury or illness
head laceration
Object or substance involved
door
Summary line
Head laceration from tripping into door
Employee and industry
- Job description
- Tegan Mauch
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Grocery stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 128
- Hours worked at this establishment (2023 total)
- 113,037
- EIN
- 420240920
- Establishment ID
- 680774
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 18:05
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-09
More injuries at Fareway Stores, INC. 409 Carroll
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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, so no per-record IMIS deep link exists.
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