Omaha, NE ·
OSHA Injury Report: Omaha #10 - Main Store
Injury · Days away from work
At a glance
On , an injury at Omaha #10 - Main Store in 3410 N 156th St, Omaha, NE 68116 resulted in days away from work. Employee was meat Dept Mgr S in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Omaha #10 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 3410 N 156th St
- City
- Omaha
- State
- NE
- ZIP
- 68116
- On-site location
- Frozen Freezer
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 15
- Days restricted or transferred
- 15
Before the incident
getting smart chicken from the freezer
What happened
He was crawling over the top of a pallet the boxes spread out and he fell forward landing on his left shoulder and a few boxes tumbled down and hit the bridge of his nose giving him a cut on the nose and having his glasses fall off.
Injury or illness
INJURY TYPE: Multiple Physical Injuries Only || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
none
Summary line
Left rotator cuff tear from slip and fall on freezer floor
Employee and industry
- Job description
- Meat Dept Mgr S
- SOC code
- 51-3021: Butchers and Meat Cutters
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 424
- Hours worked at this establishment (2023 total)
- 445,757
- EIN
- 420325638
- Establishment ID
- 1028426
- Employer case #
- 2023-7
When (timing detail)
- Date of incident
- Shift started
- 06:07
- Time of incident
- 06:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Omaha #10 - Main Store
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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