Jefferson, IA —
OSHA Injury Report: Jefferson - Main Store
Injury · Other recordable case
At a glance
On , an injury at Jefferson - Main Store in Jefferson, IA 50129 resulted in other recordable case. Employee was service Manager in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Jefferson - Main Store
- Parent company
- HYVEE INC
- Street
- 5885 Westown Parkway
- City
- Jefferson
- State
- IA
- ZIP
- 50129
- On-site location
- Jefferson Hy-Vee
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cutting plastic off water pallet
What happened
Cut right leg just above the knee with box cutter while cutting plastic off a water pallet
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Upper Leg
Object or substance involved
Box Knife
Summary line
Laceration to right leg above knee from cutting through plastic around a pallet.
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
- Avg employees
- 90
- Total hours worked
- 112785
- EIN
- 420325638
- Establishment ID
- 1028341
- Employer case #
- 2024-2
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 8:30
- 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.