Independence, MO · 2024-06-11

OSHA Injury Report: Independence 1 - Main Store

Injury · Other recordable case

At a glance

On 2024-06-11, an injury at Independence 1 - Main Store in 5873 Westown Parkway, Independence, MO 64055 resulted in other recordable case. Employee was asst Mgr Ngt Stk Crw in supermarkets and Other Grocery except Convenience Stores.

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Where did this happen?

Establishment: Independence 1 - Main Store
Parent company: HYVEE INC
Street: 5873 Westown Parkway
City: Independence
State: MO
ZIP: 64055
On-site location: backroom

What was the outcome?

Outcome: Other recordable case (code 4)
Type: Injury (code 1)

Before the incident

Employee was lifting a case of tea to stock the shelves.

What happened

The employee was lifting a case of tea and twisted the wrong way and wrenched her lower back.

Injury or illness

INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Low Back Area (Lumbar & Lumbo-Sacral)

Object or substance involved

Case of tea.

Summary line

Lifting case of tea to stock and sprained lower back.

Employee and industry

Job description: Asst Mgr Ngt Stk Crw
SOC code: 41-1011: First-Line Supervisors of Retail Sales Workers
NAICS code: 445110: Supermarkets and Other Grocery except Convenience Stores
NAICS vintage: 2022
Employees at this establishment (2024 average): 214
Hours worked at this establishment (2024 total): 290,674
EIN: 420325638
Establishment ID: 1374934
Employer case #: 2024-8

When (timing detail)

Date of incident: 2024-06-11
Shift started: 22:00
Time of incident: 23:30
Filing year: 2024
Submitted to OSHA: 2025-02-28

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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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