Waverly, IA ·
OSHA Injury Report: FAREWAY STORES, INC. 561 WAVERLY
Injury · Job transfer or restriction
At a glance
On , an injury at FAREWAY STORES, INC. 561 WAVERLY in 222 West Bremer Ave., Waverly, IA 50677 resulted in job transfer or restriction. Employee was grocery Clerk in grocery stores.
Where did this happen?
- Establishment
- FAREWAY STORES, INC. 561 WAVERLY
- Parent company
- FAREWAY STORES, INC.
- Street
- 222 West Bremer Ave.
- City
- Waverly
- State
- IA
- ZIP
- 50677
- On-site location
- Sales Floor
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
Cleaning the floor
What happened
Running the auto scrubber and slipped and fell on the wet floor behind it.
Injury or illness
Lower back pain
Object or substance involved
floor
Summary line
Slip and fall to floor causing back pain
Employee and industry
- Job description
- Grocery Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Grocery stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 127
- Hours worked at this establishment (2023 total)
- 112,528
- EIN
- 420240920
- Establishment ID
- 680832
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 21:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-10
More injuries at Fareway Stores, INC. 561 Waverly
View Fareway Stores, INC. 561 Waverly's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in IA
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.