Davenport, IA ·
OSHA Injury Report: Davenport #4 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Davenport #4 - Main Store in 4064 E 53rd St, Davenport, IA 52807 resulted in other recordable case. Employee was asst Mgr Ecommerce S in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Davenport #4 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 4064 E 53rd St
- City
- Davenport
- State
- IA
- ZIP
- 52807
- On-site location
- Backroon
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fixing backroom door
What happened
While screwing in a bolt a metal shaving came off and flew into his eye.
Injury or illness
INJURY TYPE: Foreign Body || BODY PART(S) AFFECTED: - Eye(s)
Object or substance involved
Employee was fixing backroom door. Screwing something into metal door and believes a piece of metal flaked into his eye
Summary line
Right corneal abrasion from bolt shaving.
Employee and industry
- Job description
- Asst Mgr Ecommerce S
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 282
- Hours worked at this establishment (2023 total)
- 317,385
- EIN
- 420325638
- Establishment ID
- 1028277
- Employer case #
- 2023-7
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 12:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Davenport #4 - 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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