Davenport, IA ·
OSHA Injury Report: Davenport 3 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Davenport 3 - Main Store in 1823 E Kimberly Rd, Davenport, IA 52807 resulted in job transfer or restriction. Employee was market Grille Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Davenport 3 - Main Store
- Parent company
- HYVEE INC
- Street
- 1823 E Kimberly Rd
- City
- Davenport
- State
- IA
- ZIP
- 52807
- On-site location
- Restroom
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
Employee was on break using the restroom
What happened
Employee slipped on a wet spot on the floor. Fell to the right side and strained jamed the right shoulder while trying to catch themselves.
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
N A
Summary line
Sprain of right shoulder due to slip and fall on wet floor.
Employee and industry
- Job description
- Market Grille Clerk
- SOC code
- 41-2011: Cashiers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 274
- Hours worked at this establishment (2024 total)
- 319,279
- EIN
- 420325638
- Establishment ID
- 1374902
- Employer case #
- 2024-7
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 17:23
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Davenport 3 - 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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