Charles City, IA —
OSHA Injury Report: Charles City - Main Store
Injury · Other recordable case
At a glance
On , an injury at Charles City - Main Store in Charles City, IA 50616 resulted in other recordable case. Employee was dairy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Charles City - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 901 Kelly St
- City
- Charles City
- State
- IA
- ZIP
- 50616
- On-site location
- Freezer
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
carrying box in retail freezer foot slipped on patch of ice on freezer floor (level with the floor)
What happened
stocking out of freezer walking while carrying a box - slipped and fell.
Injury or illness
INJURY TYPE: Multiple Physical Injuries Only || BODY PART(S) AFFECTED: Multiple Trunk
Object or substance involved
na - carrying box in freezer
Summary line
Head contusion concussion; rt ankle knee lft hip contusion from slip and fall on ice in freezer.
Employee and industry
- Job description
- Dairy Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 166
- Total hours worked
- 205745
- EIN
- 420325638
- Establishment ID
- 1028254
- Employer case #
- 2023-5
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 14:30:00.000
- 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.