Ottumwa, IA ·
OSHA Injury Report: Ottumwa 1 - Main Store
Other illness · Days away from work
At a glance
On , an other illness at Ottumwa 1 - Main Store in 6005 Westown Parkway, Ottumwa, IA 52501 resulted in days away from work. Employee was cstore Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Ottumwa 1 - Main Store
- Parent company
- HYVEE INC
- Street
- 6005 Westown Parkway
- City
- Ottumwa
- State
- IA
- ZIP
- 52501
- On-site location
- C-store
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Other illness (code 6)
- Days away from work
- 15
- Days restricted or transferred
- 15
Before the incident
running truck from c store side walk to inside the store foot clipped a box on the pallet causing fall
What happened
running truck from c store side walk to inside the store foot clipped a box on the pallet causing fall
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: Multiple Head Injury
Object or substance involved
no equipment was running truck foot caught box causing fall
Summary line
rt elbow fx; left hand sprain; left knee contusion from trip and fall over box on pallet
Employee and industry
- Job description
- Cstore 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)
- 228
- Hours worked at this establishment (2024 total)
- 259,587
- EIN
- 420325638
- Establishment ID
- 1374992
- Employer case #
- 2024-9
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 11:25
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Ottumwa 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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