Evansdale, IA —
OSHA Injury Report: FAREWAY STORES, INC. 067 EVANSDALE
Injury · Job transfer or restriction
At a glance
On , an injury at FAREWAY STORES, INC. 067 EVANSDALE in Evansdale, IA 50707 resulted in job transfer or restriction. Employee was market Clerk in grocery stores.
Where did this happen?
- Establishment
- FAREWAY STORES, INC. 067 EVANSDALE
- Parent company
- FAREWAY STORES, INC.
- Street
- 215 South Evans Road
- City
- Evansdale
- State
- IA
- ZIP
- 50707
- On-site location
- Market back room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 30
Before the incident
Running water in the sink
What happened
slipped on wet floor and fell to ground
Injury or illness
Lower back strain
Object or substance involved
Floor
Summary line
Back strain from fall to floor
Employee and industry
- Job description
- Market Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Grocery stores
- NAICS vintage
- 2022
- Avg employees
- 70
- Total hours worked
- 72601
- EIN
- 420240920
- Establishment ID
- 680592
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 12:30:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 04JAN24:17:29:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.