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 4605 Fleur Dr, 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
- Employees at this establishment (2025 average)
- 309
- Hours worked at this establishment (2025 total)
- 374,283
- EIN
- 420325638
- Establishment ID
- 1374913
- Employer case #
- 2025-1
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 13:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at Des Moines 4 - 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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