Lamoni, IA —
OSHA Injury Report: Lamoni - Main Store
Injury · Other recordable case
At a glance
On , an injury at Lamoni - Main Store in Lamoni, IA 50140 resulted in other recordable case. Employee was service Manager in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Lamoni - Main Store
- Parent company
- HYVEE INC
- Street
- 5905 Westown Parkway
- City
- Lamoni
- State
- IA
- ZIP
- 50140
- On-site location
- Backroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
taking cases of paper towels off of the dairy case from on a ladder
What happened
Butt tailbone contusion from misstep from ladder
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Low Back Area (Lumbar & Lumbo-Sacral)
Object or substance involved
ladder
Summary line
Butt tailbone contusion from misstep from ladder
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
- 26
- Total hours worked
- 28584
- EIN
- 420325638
- Establishment ID
- 1028360
- Employer case #
- 2024-1
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 9:30
- 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.