Ottumwa, IA —
OSHA Injury Report: Ottumwa 1 - Main Store
Other illness · Days away from work
At a glance
On , an other illness at Ottumwa 1 - Main Store in Ottumwa, IA 52501 resulted in days away from work. Employee was produceClerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Ottumwa 1 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1025 N Quincy Ave
- City
- Ottumwa
- State
- IA
- ZIP
- 52501
- On-site location
- Produce trim room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Other illness (code 6)
- Days away from work
- 82
- Days restricted or transferred
- 24
Before the incident
walking into department
What happened
cord was on the floor in doorway and employee tripped on cord and hurt previously injured knee and elbow
Injury or illness
INJURY TYPE: Strain || BODY PARTS AFFECTED: Knee
Object or substance involved
Extension cordfloor
Summary line
Left shoulder tear of supraspinatus tendon from trip and fall over cord on floor
Employee and industry
- Job description
- ProduceClerk
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 240
- Total hours worked
- 278708
- EIN
- 420325638
- Establishment ID
- 1374992
- Employer case #
- 2025-4
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 13:20
- Filing year
- 2025
- Submitted
- 27FEB26:18:36:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.