Charles City, IA ·
OSHA Injury Report: Charles City - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Charles City - Main Store in 901 Kelly St, Charles City, IA 50616 resulted in job transfer or restriction. Employee was deliveryDriver in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Charles City - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 901 Kelly St
- City
- Charles City
- State
- IA
- ZIP
- 50616
- On-site location
- Outside ShippingReceiving Door
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 30
Before the incident
Walking into the store from the delivery van
What happened
Got out of the delivery van and was walking to the back door of the store to pick up next delivery. Slipped on the ice between the van and store in the loading area behind the store.
Injury or illness
INJURY TYPE: Multiple Physical Injuries Only || BODY PARTS AFFECTED: Shoulders
Object or substance involved
Ice on Concrete
Summary line
Strain Left Shoulderpectoral muscles Slip and Fall
Employee and industry
- Job description
- DeliveryDriver
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 169
- Hours worked at this establishment (2025 total)
- 205,334
- EIN
- 420325638
- Establishment ID
- 1028254
- Employer case #
- 2025-10
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 14:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at Charles City - Main Store
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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