Dubuque, IA · 2024-01-12

OSHA Injury Report: Dubuque 3 - Main Store

Injury · Other recordable case

At a glance

On 2024-01-12, an injury at Dubuque 3 - Main Store in 400 S Locust St, Dubuque, IA 52003 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery except Convenience Stores.

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Where did this happen?

Establishment: Dubuque 3 - Main Store
Parent company: HYVEE INC
Street: 400 S Locust St
City: Dubuque
State: IA
ZIP: 52003
On-site location: customer service area

What was the outcome?

Outcome: Other recordable case (code 4)
Type: Injury (code 1)

Before the incident

[REDACTED] was getting trash bags behind customer service where he fell and hit his head

What happened

[REDACTED] was getting trash bags where he said he dropped something went to pick it up and he fell over. [REDACTED] did say that he was feeling light headed.

Injury or illness

INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Skull

Object or substance involved

N A

Summary line

Laceration on forehead from door handle

Employee and industry

Job description: Courtesy Clerk
SOC code: 53-7064: Packers and Packagers, Hand
NAICS code: 445110: Supermarkets and Other Grocery except Convenience Stores
NAICS vintage: 2022
Employees at this establishment (2024 average): 367
Hours worked at this establishment (2024 total): 396,067
EIN: 420325638
Establishment ID: 1374921
Employer case #: 2024-2

When (timing detail)

Date of incident: 2024-01-12
Shift started: 10:00
Time of incident: 10:06
Filing year: 2024
Submitted to OSHA: 2025-02-28

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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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