Davenport, IA —
OSHA Injury Report: Davenport #5 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Davenport #5 - Main Store in Davenport, IA 52804 resulted in job transfer or restriction. Employee was service Manager 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
- back room behind meat department
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
moving a pallet with electric pallet [REDACTED]
What happened
moving pallet with electric jack and when backing uo=p it jumped and tapped his right foot
Injury or illness
INJURY TYPE: Crushing || BODY PART(S) AFFECTED: - Foot
Object or substance involved
was using electric Jack when backing up it jerked and tapped his right foot
Summary line
Contusion of right ankle from electric jack hitting ankle
Employee and industry
- Job description
- Service Manager
- 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
- 241
- Total hours worked
- 287149
- EIN
- 420325638
- Establishment ID
- 1028278
- Employer case #
- 2023-9
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 16:30:00.000
- 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.