Waverly, IA ·
OSHA Injury Report: Waverly - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Waverly - Main Store in 1311 4th St SW, Waverly, IA 50677 resulted in job transfer or restriction. Employee was checker in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Waverly - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1311 4th St SW
- City
- Waverly
- State
- IA
- ZIP
- 50677
- On-site location
- Front end
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 28
Before the incident
returning supplies
What happened
tripped over step stool leg
Injury or illness
INJURY TYPE: All Other Injuries- NOC || BODY PARTS AFFECTED: Hip
Object or substance involved
Concrete floor
Summary line
Contusion of left hip- lower back and pelvis from fall.
Employee and industry
- Job description
- Checker
- SOC code
- 41-2011: Cashiers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 109
- Hours worked at this establishment (2025 total)
- 136,766
- EIN
- 420325638
- Establishment ID
- 1028519
- Employer case #
- 2025-5
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 09:23
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at Waverly - Main Store
View Waverly - Main Store's full OSHA safety record →
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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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