Lees Summit, MO —
OSHA Injury Report: Lees Summit 1 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Lees Summit 1 - Main Store in Lees Summit, MO 64086 resulted in other recordable case. Employee was service Manager in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Lees Summit 1 - Main Store
- Parent company
- HYVEE INC
- Street
- 5909 Westown Parkway
- City
- Lees Summit
- State
- MO
- ZIP
- 64086
- On-site location
- General backroom of store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
moving product with a powered pallet [REDACTED]
What happened
[REDACTED] reported that this happened to him on [REDACTED] [REDACTED]. I asked [REDACTED] if he needed medical help and he declined. I explained the process of going to our work comp clinic and if he chose to get medical care now or in the coming days he needed to let me or another manager know. He was asked several times if he wanted to go seek medical treatment and he continually declined. [REDACTED] came in on [REDACTED] and gave me a medical status report from Rockhill Othopaedic Specialists. He said they told him he had 3 lacerations contusions on the top and bottom of his foot stating that he had a fracture in the bottom of his foot. I told [REDACTED] that he would need to start with Concentra on [REDACTED]. Right foot injury.
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Foot
Object or substance involved
using a powered jack to move product as Clifton was moving the pallet jack he lost control and trapped himself between the powered jack and a highloader pallet jack his right foot was caught between the two and the jack was on his foot he eventua
Summary line
Contusion and laceration of right foot possible fracture pallet [REDACTED]
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
- 2022
- Avg employees
- 294
- Total hours worked
- 345108
- EIN
- 420325638
- Establishment ID
- 1374950
- Employer case #
- 2024-5
When (timing detail)
- Date of incident
- Shift started
- 12:09
- Time of incident
- 22:28
- 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.