West Des Moines, IA ·
OSHA Injury Report: West Des Moines 2 - Main Store
Injury · Other recordable case
At a glance
On , an injury at West Des Moines 2 - Main Store in 1990 Grand Ave, West Des Moines, IA 50265 resulted in other recordable case. Employee was serviceManager in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- West Des Moines 2 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1990 Grand Ave
- City
- West Des Moines
- State
- IA
- ZIP
- 50265
- On-site location
- Parking lot- north end
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Grabbing carts
What happened
Fell on the shoulder
Injury or illness
INJURY TYPE: Multiple Physical Injuries Only || BODY PARTS AFFECTED: Shoulders
Object or substance involved
Ice on parking lot
Summary line
Left shoulder contusion from slip and fall on icy parking lot
Employee and industry
- Job description
- ServiceManager
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 150
- Hours worked at this establishment (2025 total)
- 196,379
- EIN
- 420325638
- Establishment ID
- 1375064
- Employer case #
- 2025-10
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 16:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at West Des Moines 2 - 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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