Davenport, IA ·
OSHA Injury Report: Davenport #4 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Davenport #4 - Main Store in 4064 E 53rd St, Davenport, IA 52807 resulted in job transfer or restriction. Employee was aol Shopper 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
- Market Grille Wahlburgers
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 86
Before the incident
Mopping the floor
What happened
While mopping the floor near the pop machines in the dining room [REDACTED] slipped and fell striking her left side on the tile floor. She struck her elbow hip and shoulder.
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: Multiple Upper Extremities
Object or substance involved
Employee was mopping the floor and slipped and fell
Summary line
left hip contusion and left radius fracture from slip and fall on wet floor.
Employee and industry
- Job description
- Aol Shopper
- SOC code
- 41-2011: Cashiers
- 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 #
- 2023-8
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 19:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Davenport #4 - Main Store
View Davenport #4 - Main Store's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in IA
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.