Lee's Summit, MO —
OSHA Injury Report: Lees Summit #2 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Lees Summit #2 - Main Store in Lee's Summit, MO 64081 resulted in other recordable case. Employee was frozen Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Lees Summit #2 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 310 SW Ward Rd
- City
- Lee's Summit
- State
- MO
- ZIP
- 64081
- On-site location
- Dairy Department
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee stepped backwards hitting a cart which tripped him. He fell backwards hitting back of head and left shoulder.
What happened
Employee stepped backwards hitting a cart which tripped him. He fell backwards hitting back of head and left shoulder.
Injury or illness
INJURY TYPE: Multiple Physical Injuries Only || BODY PART(S) AFFECTED: - Head - Soft Tissue
Object or substance involved
Employee stepped backwards hitting a cart which tripped him. He fell backwards hitting back of head and left shoulder.
Summary line
Head and left shoulder contusion from trip and fall over cart.
Employee and industry
- Job description
- Frozen Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 349
- Total hours worked
- 396476
- EIN
- 420325638
- Establishment ID
- 1028365
- Employer case #
- 2023-10
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 11:25:00.000
- 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.