Chillicothe, MO ·
OSHA Injury Report: Chillicothe - Main Store
Injury · Other recordable case
At a glance
On , an injury at Chillicothe - Main Store in 1210 Washington St, Chillicothe, MO 64601 resulted in other recordable case. Employee was asst Mgr Str Oper S in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Chillicothe - Main Store
- Parent company
- HYVEE INC
- Street
- 1210 Washington St
- City
- Chillicothe
- State
- MO
- ZIP
- 64601
- On-site location
- Market Grille
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was investigating a leak coming from a busted pipe casued from the cold. emplyoee was cleaning the water when he slipped and fell.
What happened
As [REDACTED] was pushing the water he took a step and fell face first. When he got back up he was missing part of his front tooth. He fell on to the kitchen floor face first.
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Teeth
Object or substance involved
Emplyoee was around water floor machine bakery dish washer and kitchen equipment.
Summary line
front left upper tooth fractured and jaw contusion. Hit floor from water pipe break
Employee and industry
- Job description
- Asst Mgr Str Oper S
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 112
- Hours worked at this establishment (2024 total)
- 142,675
- EIN
- 420325638
- Establishment ID
- 1028257
- Employer case #
- 2024-1
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 16:40
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Chillicothe - 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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