Independence, MO —
OSHA Injury Report: Independence #2 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Independence #2 - Main Store in Independence, MO 64055 resulted in job transfer or restriction. Employee was coffee Shop Dept Mgr in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Independence #2 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 4545 S Noland Rd
- City
- Independence
- State
- MO
- ZIP
- 64055
- On-site location
- Starbucks Department
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 99
Before the incident
Scooping Ice for Coffee Drinks
What happened
Pulling and Pushing the ice scoop to retrieve ice for drinks
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Upper Arm (Clavicle and Scapula)
Object or substance involved
Ice Scoop and Ice Bin
Summary line
Left shoulder strain scooping ice with ice scoop.
Employee and industry
- Job description
- Coffee Shop Dept Mgr
- 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
- 222
- Total hours worked
- 297141
- EIN
- 420325638
- Establishment ID
- 1028333
- Employer case #
- 2023-8
When (timing detail)
- Date of incident
- Shift started
- 4:30:00.000
- Time of incident
- 8:30:00.000
- 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.