Waukee, IA ·
OSHA Injury Report: Waukee - Main Store
Injury · Days away from work
At a glance
On , an injury at Waukee - Main Store in 6137 Westown Parkway, Waukee, IA 50263 resulted in days away from work. Employee was service Manager in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Waukee - Main Store
- Parent company
- HYVEE INC
- Street
- 6137 Westown Parkway
- City
- Waukee
- State
- IA
- ZIP
- 50263
- On-site location
- Dairy - Main Store
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 11
- Days restricted or transferred
- 11
Before the incident
stocking in the dairy cooler
What happened
tripped on pallet jack fell on left arm shoulder
Injury or illness
INJURY TYPE: Sprain || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
pallet jack
Summary line
Left Rotator cuff tear from trip and fall over pallet [REDACTED]
Employee and industry
- Job description
- Service Manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 462
- Hours worked at this establishment (2024 total)
- 505,483
- EIN
- 420325638
- Establishment ID
- 1028520
- Employer case #
- 2024-15
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 08:10
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Waukee - Main Store
View Waukee - Main Store's full OSHA safety record →
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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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