Des Moines, IA —
OSHA Injury Report: Des Moines 4 - Main Store
Injury · Days away from work
At a glance
On , an injury at Des Moines 4 - Main Store in Des Moines, IA 50321 resulted in days away from work. Employee was dishroomClerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Des Moines 4 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 4605 Fleur Dr
- City
- Des Moines
- State
- IA
- ZIP
- 50321
- On-site location
- Market Grille dish room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 90
Before the incident
Washing dishes
What happened
Tripped over shelving rack falling and hitting left shoulder on floor
Injury or illness
INJURY TYPE: Fracture || BODY PARTS AFFECTED: Shoulders
Object or substance involved
Concrete floor
Summary line
Left humerus fracture from trip and fall over shelving
Employee and industry
- Job description
- DishroomClerk
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 309
- Total hours worked
- 374283
- EIN
- 420325638
- Establishment ID
- 1374913
- Employer case #
- 2025-1
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 13:00
- 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.