Mount Ayr, IA —
OSHA Injury Report: Mt. Ayr - Main Store
Injury · Other recordable case
At a glance
On , an injury at Mt. Ayr - Main Store in Mount Ayr, IA 50854 resulted in other recordable case. Employee was service Manager in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Mt. Ayr - Main Store
- Parent company
- HYVEE INC
- Street
- 5958 Westown Parkway
- City
- Mount Ayr
- State
- IA
- ZIP
- 50854
- On-site location
- Men's Bathroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] went into the restroom and he slipped on urine and hit is head either on the sink or the toilet. It knocked him out and he got a cut on his eyebrow and chipped his tooth.
What happened
[REDACTED] went into the restroom and he slipped on urine and hit is head either on the sink or the toilet. It knocked him out and he got a cut on his eyebrow and chipped his tooth.
Injury or illness
INJURY TYPE: Puncture || BODY PART(S) AFFECTED: - Eye(s)
Object or substance involved
Treyton went into the restroom and he slipped on urine and hit is head either on the sink or the toilet. It knocked him out and he got a cut on his eyebrow and chipped his tooth.
Summary line
Left eye laceration and front tooth fracture from slip and fall on substance on floor
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
- 35
- Total hours worked
- 47195
- EIN
- 420325638
- Establishment ID
- 1028397
- Employer case #
- 2024-2
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 18:00
- 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.