Waverly, IA ·
OSHA Injury Report: Waverly - Main Store
Injury · Other recordable case
At a glance
On , an injury at Waverly - Main Store in 6141 Westown Parkway, Waverly, IA 50677 resulted in other recordable case. Employee was meat Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Waverly - Main Store
- Parent company
- HYVEE INC
- Street
- 6141 Westown Parkway
- City
- Waverly
- State
- IA
- ZIP
- 50677
- On-site location
- Backroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Lifting table over head.
What happened
Was lifting table over head bottom part of it broke and the medal leg came down and hit him in face. Cut the inside of his lip.
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Mouth
Object or substance involved
Lifting 3 tier round table up on top of a cooler in our back room.
Summary line
Upper lip laceration from falling table parts.
Employee and industry
- Job description
- Meat Clerk
- SOC code
- 35-2021: Food Preparation Workers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 107
- Hours worked at this establishment (2024 total)
- 129,502
- EIN
- 420325638
- Establishment ID
- 1028519
- Employer case #
- 2024-3
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 14:15
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Waverly - Main Store
View Waverly - Main Store's full OSHA safety record →
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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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