Jefferson City, MO —
OSHA Injury Report: Jefferson City - Main Store
Injury · Other recordable case
At a glance
On , an injury at Jefferson City - Main Store in Jefferson City, MO 65109 resulted in other recordable case. Employee was custodian in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Jefferson City - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 3721 W Truman Blvd
- City
- Jefferson City
- State
- MO
- ZIP
- 65109
- On-site location
- Main Store - Warehouse
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
in back room had knife in right hand bumped into a pallet with his elbow and knife cut his left forearm
What happened
in back room had knife in right hand bumped into a pallet with his elbow and knife cut his left forearm
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Lower Arm
Object or substance involved
box knife
Summary line
Laceration to left forearm by knife
Employee and industry
- Job description
- Custodian
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 255
- Total hours worked
- 302858
- EIN
- 420325638
- Establishment ID
- 1028342
- Employer case #
- 2023-6
When (timing detail)
- Date of incident
- Shift started
- 5:57:00.000
- Time of incident
- 10:00:00.000
- 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.