Waukee, IA —
OSHA Injury Report: 4223-M5900
Injury · Other recordable case
At a glance
On , an injury at 4223-M5900 in Waukee, IA 50263 resulted in other recordable case. Employee was sales Manager in hardware stores.
Where did this happen?
- Establishment
- 4223-M5900
- Parent company
- Fleet Farm Wholesale Supply Co. LLC
- Street
- 1300 SE Kettlestone Blvd
- City
- Waukee
- State
- IA
- ZIP
- 50263
- On-site location
- Convenience Store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Filling pop cooler
What happened
As he was reaching up and felt pain in his neck and left shoulder
Injury or illness
Neck sprain
Object or substance involved
reaching
Summary line
Filling pop cooler reaching up and felt pain in neck and left shoulder
Employee and industry
- Job description
- Sales Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 444130 — Hardware stores
- NAICS vintage
- 2017
- Avg employees
- 126
- Total hours worked
- 136734
- EIN
- 410806238
- Establishment ID
- 837968
- Employer case #
- 254023
When (timing detail)
- Date of incident
- Shift started
- 6:30:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 29FEB24:15:05:00
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.