Ankeny, IA ·
OSHA Injury Report: Ankeny #1 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Ankeny #1 - Main Store in 410 N Ankeny Blvd, Ankeny, IA 50023 resulted in job transfer or restriction. Employee was floral Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Ankeny #1 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 410 N Ankeny Blvd
- City
- Ankeny
- State
- IA
- ZIP
- 50023
- On-site location
- Floral department
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 43
Before the incident
Washing out buckets
What happened
Washing out floral buckets floor wet slipped and fell
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Upper Arm (Clavicle and Scapula)
Object or substance involved
Washing out buckets
Summary line
Left humeral head fracture from slip and fall on wet floor.
Employee and industry
- Job description
- Floral Clerk
- SOC code
- 27-1023: Floral Designers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 475
- Hours worked at this establishment (2023 total)
- 523,225
- EIN
- 420325638
- Establishment ID
- 1028218
- Employer case #
- 2023-27
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 18:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Ankeny #1 - Main Store
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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