Mason City, IA —
OSHA Injury Report: Mason City 2 - Main Store
Injury · Days away from work
At a glance
On , an injury at Mason City 2 - Main Store in Mason City, IA 50401 resulted in days away from work. Employee was dairy Dept Mgr H in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Mason City 2 - Main Store
- Parent company
- HYVEE INC
- Street
- 5943 Westown Parkway
- City
- Mason City
- State
- IA
- ZIP
- 50401
- On-site location
- Department Head Office
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 2
Before the incident
Scheduling on computer.
What happened
[REDACTED] went to sit down at a computer to work on her schedule when she did the back gave out on the chair.
Injury or illness
INJURY TYPE: Concussion || BODY PART(S) AFFECTED: - Brain
Object or substance involved
Chair in office back gave out on the chair as she was sitting down causing Samantha to fall and strike her head.
Summary line
Head contusion concussion from chair breaking when going to sit down.
Employee and industry
- Job description
- Dairy Dept Mgr H
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 177
- Total hours worked
- 198565
- EIN
- 420325638
- Establishment ID
- 1374966
- Employer case #
- 2024-7
When (timing detail)
- Date of incident
- Shift started
- 7:54
- Time of incident
- 10:00
- 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.