Maplewood, MN —
OSHA Injury Report: Maplewood - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Maplewood - Main Store in Maplewood, MN 55109 resulted in job transfer or restriction. Employee was human Resource Mgr in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Maplewood - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 2501 White Bear Ave
- City
- Maplewood
- State
- MN
- ZIP
- 55109
- On-site location
- Floral
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 45
Before the incident
Employee was walking through the floral department on her way out of the store
What happened
Employee came down the stairs from the breakroom and slipped on the floor buy the floral counter
Injury or illness
INJURY TYPE: Multiple Physical Injuries Only || BODY PART(S) AFFECTED: Multiple Upper Extremities
Object or substance involved
Employee was leaving for the day
Summary line
Left humerus fracture from slip and fall on wet floor.
Employee and industry
- Job description
- Human Resource Mgr
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 176
- Total hours worked
- 217869
- EIN
- 420325638
- Establishment ID
- 1028388
- Employer case #
- 2023-9
When (timing detail)
- Date of incident
- Shift started
- 6:34:00.000
- Time of incident
- 14:34:00.000
- 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.