Waterloo, IA ·
OSHA Injury Report: Waterloo 1 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Waterloo 1 - Main Store in 6132 Westown Parkway, Waterloo, IA 50701 resulted in other recordable case. Employee was mrktgrl Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Waterloo 1 - Main Store
- Parent company
- HYVEE INC
- Street
- 6132 Westown Parkway
- City
- Waterloo
- State
- IA
- ZIP
- 50701
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] was walking in the kitchen and another employee was mopping. [REDACTED] slipped and fell due to the wet floor. SHe injuried her right arm and shoulder.
What happened
[REDACTED] was walking in the kitchen and another employee was mopping. [REDACTED] slipped and fell due to the wet floor. SHe injuried her right arm and shoulder.
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: Multiple Upper Extremities
Object or substance involved
Sherie was walking in the kitchen and another employee was mopping. Sherie slipped and fell due to the wet floor. SHe injuried her right arm and shoulder.
Summary line
slipped and fall causing contusion to right shoulder and arm
Employee and industry
- Job description
- Mrktgrl Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 131
- Hours worked at this establishment (2024 total)
- 160,015
- EIN
- 420325638
- Establishment ID
- 1375057
- Employer case #
- 2024-13
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 20:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Waterloo 1 - Main Store
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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, so no per-record IMIS deep link exists.
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