Fort Madison, IA —
OSHA Injury Report: Fort Madison - Main Store
Injury · Other recordable case
At a glance
On , an injury at Fort Madison - Main Store in Fort Madison, IA 52627 resulted in other recordable case. Employee was cstore Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Fort Madison - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 2606 Avenue L
- City
- Fort Madison
- State
- IA
- ZIP
- 52627
- On-site location
- C-store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
brewing tea
What happened
brewing tea pulled out basket with tea bags in before tea was finished brewing forgot to check the timer
Injury or illness
INJURY TYPE: Burn || BODY PART(S) AFFECTED: - Chest(Ribs Sternum & Soft Tissue)
Object or substance involved
tea brewer hot water tea bags
Summary line
Burn on chest area from pulling out tea brewer basket before timer went off tea still brewing
Employee and industry
- Job description
- Cstore Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 139
- Total hours worked
- 174595
- EIN
- 420325638
- Establishment ID
- 1028311
- Employer case #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 3:45:00.000
- Time of incident
- 4:15:00.000
- Submitted
- 29FEB24:15:46:00
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.