Ankeny, IA ·
OSHA Injury Report: 1630 ANKENY IA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1630 ANKENY IA WHSE in 4000 NE Spectrum Dr, Ankeny, IA 50021 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 1630 ANKENY IA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 4000 NE Spectrum Dr
- City
- Ankeny
- State
- IA
- ZIP
- 50021
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 13
Before the incident
Closing cleaning duties
What happened
Pouring CIp oven cleaner from one container to the other
Injury or illness
Burn Leg Right and Left Side
Object or substance involved
Chemicals
Summary line
Burn Leg Right and Left Side Absorption Chemicals
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 223
- Hours worked at this establishment (2024 total)
- 337,224
- EIN
- 911223280
- Establishment ID
- 1378930
- Employer case #
- WC413G3454
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 20:15
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 1630 Ankeny IA Whse
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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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