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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Keokuk - Main Store

Injury · Job transfer or restriction

On , an injury at Keokuk - Main Store in Keokuk, IA 52632 resulted in job transfer or restriction. Employee was mrktgrl Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Establishment
Keokuk - Main Store
Parent company
HY-VEE, INC.
Street
3111 Main St
City
Keokuk
State
IA
ZIP
52632
On-site location
Kitchen Dish room
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
52

Putting dirty dishes in dish room to be cleaned

Employee was putting dirty dishes in dish room when black nonslip mat move causing him to fall and twist right knee. Employee is dressed for work including black tennis shoes. Floor in dish room is not wet at this however Employee said it was wet under the mat when it moved

INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Knee

Walking in dish room and the nonslip mat moved causing Shawn to fall and twist right knee. Shawn was wearing tennis shoes

Right knee strain from mat slipping and striking dishwasher

Job description
Mrktgrl Clerk
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
139
Total hours worked
173163
EIN
420325638
Establishment ID
1028352
Employer case #
2023-9
Date of incident
Shift started
13:00:00.000
Time of incident
14:40:00.000
Submitted
29FEB24:15:46:00

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.