Independence, MO ·
OSHA Injury Report: Independence 1 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Independence 1 - Main Store in 1525 E 23rd St S, Independence, MO 64055 resulted in other recordable case. Employee was produceClerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Independence 1 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1525 E 23rd St S
- City
- Independence
- State
- MO
- ZIP
- 64055
- On-site location
- produce room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking across the room.
What happened
Employee tripped on the water drain on the floor. Drain is slightly recessed.
Injury or illness
INJURY TYPE: Contusion || BODY PARTS AFFECTED: Knee
Object or substance involved
concrete floor
Summary line
Right ankle and left knee contusions from trip and fall Hit left knee from trip and fall over drain
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
- Employees at this establishment (2025 average)
- 222
- Hours worked at this establishment (2025 total)
- 297,727
- EIN
- 420325638
- Establishment ID
- 1374934
- Employer case #
- 2025-9
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 12:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at Independence 1 - 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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