Davenport, IA —
OSHA Injury Report: Davenport 5 - Main Store
Injury · Days away from work
At a glance
On , an injury at Davenport 5 - Main Store in Davenport, IA 52804 resulted in days away from work. Employee was custodian in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Davenport 5 - Main Store
- Parent company
- HYVEE INC
- Street
- 2351 W Locust St
- City
- Davenport
- State
- IA
- ZIP
- 52804
- On-site location
- parking lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 25
- Days restricted or transferred
- 25
Before the incident
he was cleaning the lot
What happened
walking in the lot cleaning it when the drizzle fog turned into ice in matter of minutes
Injury or illness
INJURY TYPE: Concussion || BODY PART(S) AFFECTED: - Skull
Object or substance involved
garbage can and a pick up tool for trash
Summary line
slipped on ice hit head concussion sprain spine contusion thorax traumatic hemorrhage cerebrum.
Employee and industry
- Job description
- Custodian
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 225
- Total hours worked
- 273539
- EIN
- 420325638
- Establishment ID
- 1374905
- Employer case #
- 2024-1
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 6:59
- 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.