Humboldt, IA —
OSHA Injury Report: Humboldt - Wine & Spirits
Injury · Other recordable case
At a glance
On , an injury at Humboldt - Wine & Spirits in Humboldt, IA 50548 resulted in other recordable case. Employee was winesprt Dept Mgr H in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Humboldt - Wine & Spirits
- Parent company
- HY-VEE, INC.
- Street
- 611 10th Ave N
- City
- Humboldt
- State
- IA
- ZIP
- 50548
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was leaving the store for the day and was locking the door took a step back and went down.
What happened
Employee was locking the store and leaving for the evening with a co-worker. He locked the store and took a step back and went down on the ice. Co-worker (who is also employed at the wine spirit store) was waiting in her car to pickup her son when she said opened the car door and said Employee had fallen and needed help. stated she went to where Employee was laying and saw blood by his head and on his hand and called 911 as she didn 't want to try to move him. Next on scene was police officer and then the ambulance arrived. Employee stated she didn 't see the fall because she was looking at her phone waiting for her son.
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: Multiple Head Injury
Object or substance involved
Ice melt had been applied to the area throughout the day.
Summary line
Head injury scalp abrasion loss of consciousness from slip and fall on ice
Employee and industry
- Job description
- Winesprt Dept Mgr H
- 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
- 4
- Total hours worked
- 6573
- EIN
- 420325638
- Establishment ID
- 1028329
- Employer case #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 11:57:00.000
- Time of incident
- 21:02:00.000
- 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.