Davenport, IA · 2025-10-02

OSHA Injury Report: Davenport 4 - Main Store

Injury · Job transfer or restriction

At a glance

On 2025-10-02, an injury at Davenport 4 - Main Store in 4064 E 53rd St, Davenport, IA 52807 resulted in job transfer or restriction. Employee was mrktgrlClerk in supermarkets and Other Grocery except Convenience Stores.

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Where did this happen?

Establishment: Davenport 4 - Main Store
Parent company: HY-VEE, INC.
Street: 4064 E 53rd St
City: Davenport
State: IA
ZIP: 52807
On-site location: Market Grille

What was the outcome?

Outcome: Job transfer or restriction (code 3)
Type: Injury (code 1)
Days restricted or transferred: 41

Before the incident

Pulling a hot pan out of the steamer

What happened

While pulling the pan out of the steamer the hot water in the pan splashed out onto [REDACTED] left shoulder.

Injury or illness

INJURY TYPE: Burn || BODY PARTS AFFECTED: Shoulders

Object or substance involved

Hot water from steamer

Summary line

Burn of left shoulder area from hot water from steamer

Employee and industry

Job description: MrktgrlClerk
SOC code: 00-9900: Insufficient Information - NIOSH
NAICS code: 445110: Supermarkets and Other Grocery except Convenience Stores
NAICS vintage: 2022
Employees at this establishment (2025 average): 274
Hours worked at this establishment (2025 total): 318,763
EIN: 420325638
Establishment ID: 1374904
Employer case #: 2025-19

When (timing detail)

Date of incident: 2025-10-02
Shift started: 08:00
Time of incident: 09:46
Filing year: 2025
Submitted to OSHA: 2026-02-27

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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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