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 Asst Dept Mgr 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
- Deli Department
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking past cart
What happened
Employee was walking through the department as she passed a deli cart her foot caught the bottom causing her to trip and fall. When she fell her left side of her forehead hit the floor. She had an egg sized lump on her forehead that appeared bruised and stated her neck was a little stiff.
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Head - Soft Tissue
Object or substance involved
Deli cart
Summary line
Contusion of left forehead and shoulder from trip and fall on cart in deli
Employee and industry
- Job description
- Deli Asst 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
- Employees at this establishment (2023 average)
- 388
- Hours worked at this establishment (2023 total)
- 442,240
- EIN
- 420325638
- Establishment ID
- 1028348
- Employer case #
- 2023-14
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 09:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Kansas City #3 - Main Store
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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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