Centerville, IA —
OSHA Injury Report: Centerville - Main Store
Injury · Days away from work
At a glance
On , an injury at Centerville - Main Store in Centerville, IA 52544 resulted in days away from work. Employee was cstore Asst Dept Mgr in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Centerville - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 609 N 18th St
- City
- Centerville
- State
- IA
- ZIP
- 52544
- On-site location
- Back room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 93
- Days restricted or transferred
- 93
Before the incident
Was on ladder doing supply inventory in top bay. Was climbing back down the ladder and ladder tipped over.
What happened
Employee was climbing back down the ladder. The ladder wobbled and then entire ladder fell over.
Injury or illness
INJURY TYPE: Multiple Physical Injuries Only || BODY PART(S) AFFECTED: Multiple Body Parts
Object or substance involved
Was on ladder doing inventory to top bay in backroom.
Summary line
Lumbar strain rt 5th rib fx from fall from tipping ladder
Employee and industry
- Job description
- Cstore Asst Dept Mgr
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 78
- Total hours worked
- 100967
- EIN
- 420325638
- Establishment ID
- 1028243
- Employer case #
- 2023-3
When (timing detail)
- Date of incident
- Shift started
- 5:46:00.000
- Time of incident
- 8:00:00.000
- Submitted
- 29FEB24:15:45:00
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.