Ankeny, IA —
OSHA Injury Report: Hy-Vee Fresh Commissary
Injury · Other recordable case
At a glance
On , an injury at Hy-Vee Fresh Commissary in Ankeny, IA 50021 resulted in other recordable case. Employee was production Worker in perishable Prepared Food Manufacturing.
Where did this happen?
- Establishment
- Hy-Vee Fresh Commissary
- Parent company
- HYVEE INC
- Street
- 5870 Westown Parkway
- City
- Ankeny
- State
- IA
- ZIP
- 50021
- On-site location
- Dock Area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Getting lids for GMC lines from shipping area
What happened
Employee was retrieving package materials- lids for GMC lines after getting product he turned around not seeing the pallet jack behind him and tripped over a pallet jack. He fell on lower left side of back & hip and upper left bottom.
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Low Back Area (Lumbar & Lumbo-Sacral)
Object or substance involved
tripped on pallet jack
Summary line
Taking product out of box tripped on pallet jack L4-L5 annular tear.
Employee and industry
- Job description
- Production Worker
- SOC code
- 51-9199 — Production Workers, All Other
- NAICS code
- 311991 — Perishable Prepared Food Manufacturing
- NAICS vintage
- 2012
- Avg employees
- 425
- Total hours worked
- 799431
- EIN
- 420325638
- Establishment ID
- 1028605
- Employer case #
- 2024-45hy-
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 9:25
- Filing year
- 2024
- Submitted
- 28FEB2025:20:13:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.