Waukee, IA ·
OSHA Injury Report: Waukee - Main Store
Injury · Other recordable case
At a glance
On , an injury at Waukee - Main Store in 6137 Westown Parkway, Waukee, IA 50263 resulted in other recordable case. Employee was dishroom Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Waukee - Main Store
- Parent company
- HYVEE INC
- Street
- 6137 Westown Parkway
- City
- Waukee
- State
- IA
- ZIP
- 50263
- On-site location
- Dishwashing area/Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
washing dishees
What happened
slipped on water on floor - safety mats were in place
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
dishwashing equipment dirty dishes
Summary line
slip fall on wet floor - left shoulder contusion
Employee and industry
- Job description
- Dishroom Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 462
- Hours worked at this establishment (2024 total)
- 505,483
- EIN
- 420325638
- Establishment ID
- 1028520
- Employer case #
- 2024-3
When (timing detail)
- Date of incident
- Shift started
- 15:18
- Time of incident
- 15:35
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Waukee - 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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