Davenport, IA ·
OSHA Injury Report: Davenport 3 - Main Store
Injury · Days away from work
At a glance
On , an injury at Davenport 3 - Main Store in 1823 E Kimberly Rd, Davenport, IA 52807 resulted in days away from work. Employee was mrktgrlClerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Davenport 3 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1823 E Kimberly Rd
- City
- Davenport
- State
- IA
- ZIP
- 52807
- On-site location
- Market Grille
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 130
- Days restricted or transferred
- 50
Before the incident
Employee was lifting tray loaded with Chicken
What happened
Employee was lifting tray loaded with cold Chicken in the Market Grille Cooler then felt a sprain pop in the right shoulder.
Injury or illness
INJURY TYPE: Strain || BODY PARTS AFFECTED: Shoulders
Object or substance involved
tray of chicken lifting
Summary line
Tear of right supraspinatus tendon while lifting tray of chicken.
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)
- 276
- Hours worked at this establishment (2025 total)
- 321,910
- EIN
- 420325638
- Establishment ID
- 1374902
- Employer case #
- 2025-1
When (timing detail)
- Date of incident
- Shift started
- 04:45
- Time of incident
- 10:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at Davenport 3 - 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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