Mason City, IA —
OSHA Injury Report: Mason City #1 - Main Store
Injury · Days away from work
At a glance
On , an injury at Mason City #1 - Main Store in Mason City, IA 50401 resulted in days away from work. Employee was checker in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Mason City #1 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 2400 4th St SW
- City
- Mason City
- State
- IA
- ZIP
- 50401
- On-site location
- In the side parking lot.
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 93
- Days restricted or transferred
- 93
Before the incident
Employee was walking to the delivery vans in the employee parking lot and fell twice. The first resulted in scrapping his left knee and the second resulted in him landing on his left shoulder arm. He was in quite a bit of pain and could not raise his arm.
What happened
Employee was walking to the delivery vans in the employee parking lot and fell twice. The first resulted in scrapping his left knee and the second resulted in him landing on his left shoulder arm. He was in quite a bit of pain and could not raise his arm.
Injury or illness
INJURY TYPE: Inflammation || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
Employee was walking to the delivery vans in the employee parking lot and fell twice. The first resulted in scrapping his left knee and the second resulted in him landing on his left shoulder arm. He was in quite a bit of pain and could not raise his ar
Summary line
Left humeral head fracture from slipping and fall on ice
Employee and industry
- Job description
- Checker
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 182
- Total hours worked
- 215092
- EIN
- 420325638
- Establishment ID
- 1028393
- Employer case #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 10:25:00.000
- 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.