Davenport, IA —
OSHA Injury Report: Davenport #5 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Davenport #5 - Main Store in Davenport, IA 52804 resulted in other recordable case. 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 recieving area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
moving pallets
What happened
got caught in between pallets moving and twisted
Injury or illness
INJURY TYPE: Sprain || BODY PART(S) AFFECTED: - Ankle
Object or substance involved
moving pallets and ankle got caught in between 2 pallets and twisted
Summary line
Right ankle sprain and rt dorsal talar avulsion fracture from caught between pallets
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 #
- 2023-6
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 17:00:00.000
- 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.