Mason City, IA —
OSHA Injury Report: Mason City #2 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Mason City #2 - Main Store in Mason City, IA 50401 resulted in other recordable case. Employee was dairy Dept Mgr H in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Mason City #2 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 551 S Illinois Ave
- City
- Mason City
- State
- IA
- ZIP
- 50401
- On-site location
- Team member fell on small amount of liquid in the daily cooler. Injured Wrist.
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was walking through the freezer when he stepped on a slippery part of the floor and slipped. When he fell to the ground he tried to catch himself with his left wrist over extending it backwards causing pain.
What happened
Employee was walking through the freezer when he stepped on a slippery part of the floor and slipped. When he fell to the ground he tried to catch himself with his left wrist over extending it backwards causing pain.
Injury or illness
INJURY TYPE: Inflammation || BODY PART(S) AFFECTED: - Wrist
Object or substance involved
Employee was walking through the freezer when he stepped on a slippery part of the floor and slipped. When he fell to the ground he tried to catch himself with his left wrist over extending it backwards causing pain.
Summary line
Left wrist sprain from slip and fall on icy floor
Employee and industry
- Job description
- Dairy Dept Mgr H
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 179
- Total hours worked
- 206815
- EIN
- 420325638
- Establishment ID
- 1028394
- Employer case #
- 2023-19
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 7:30:00.000
- 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.