Kansas City, MO ·
OSHA Injury Report: Kansas City #3 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Kansas City #3 - Main Store in 5330 NW 64th St, Kansas City, MO 64151 resulted in other recordable case. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Kansas City #3 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 5330 NW 64th St
- City
- Kansas City
- State
- MO
- ZIP
- 64151
- On-site location
- department freezer
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Getting items out of the freezer
What happened
Employee walked into the freezer to retrieve a box moved cake cart in freezer to get to product did not see the tyson empty chicken box on the floor an tripped over it. Fell to right trying to catch self on boxes in cooler had arm up over head when landed on boxes. Landed on right knee on the concrete in the freezer. Scraped up right knee stiff and sore but said not bad. Went to ER they stated he has a humeral head fracture of his right arm
Injury or illness
INJURY TYPE: Fracture || BODY PART(S) AFFECTED: - Upper Arm (Clavicle and Scapula)
Object or substance involved
boxed product cooler empty box
Summary line
humural head fracture right arm from trip and fall over box.
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 388
- Hours worked at this establishment (2023 total)
- 442,240
- EIN
- 420325638
- Establishment ID
- 1028348
- Employer case #
- 2023-3
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 22:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Kansas City #3 - Main Store
View Kansas City #3 - Main Store's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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