Liberty, MO ·
OSHA Injury Report: Liberty - Main Store
Injury · Other recordable case
At a glance
On , an injury at Liberty - Main Store in 109 N Blue Jay Dr, Liberty, MO 64068 resulted in other recordable case. Employee was mrktgrlClerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Liberty - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 109 N Blue Jay Dr
- City
- Liberty
- State
- MO
- ZIP
- 64068
- On-site location
- market grill
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Carrying product to a table when slipped
What happened
Employee was going into the kitchen cooler to get product might have stepped in a spill from in the cooler and slipped on the floor in between the Kitchen and Deli.
Injury or illness
INJURY TYPE: Dislocation || BODY PARTS AFFECTED: Shoulders
Object or substance involved
concrete floor
Summary line
Right rotator cuff tear from slip and fall wet floor
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
- 2012
- Employees at this establishment (2025 average)
- 392
- Hours worked at this establishment (2025 total)
- 441,912
- EIN
- 420325638
- Establishment ID
- 1028369
- Employer case #
- 2025-12
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 11:50
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at Liberty - 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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