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 frozen Clerk 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
- Frozen freezer
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 166
Before the incident
Sweeping under racks in freezer
What happened
Employee was sweeping under the racks in the freezer when he slipped and hit his left arm on the rack. His arm began to swell and bruise.
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Upper Arm (Clavicle and Scapula)
Object or substance involved
Broom
Summary line
Left distal bicep tendon tear from hitting arm on rack
Employee and industry
- Job description
- Frozen Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- 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 #
- 2023-5
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 8:20:00.000
- 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.