Davenport, IA —
OSHA Injury Report: Davenport #5 - Main Store
Injury · Days away from work
At a glance
On , an injury at Davenport #5 - Main Store in Davenport, IA 52804 resulted in days away from work. Employee was delivery Driver in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Davenport #5 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 2351 W Locust St
- City
- Davenport
- State
- IA
- ZIP
- 52804
- On-site location
- pleasant and division street
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 2
Before the incident
was pulling out did not see other car and was struck
What happened
was pulling out from a side street did not see car and was struckon drivers side of van
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
was driving and pulled out and was struck by another car
Summary line
laceration of left ear and dislocation of left shoulder was in car accident while on delivery.
Employee and industry
- Job description
- Delivery Driver
- SOC code
- 53-3033 — Light Truck Drivers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 241
- Total hours worked
- 287149
- EIN
- 420325638
- Establishment ID
- 1028278
- Employer case #
- 2023-7
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 13:45:00.000
- 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.