Omaha, NE ·
OSHA Injury Report: Omaha #2 - Main Store
Injury · Days away from work
At a glance
On , an injury at Omaha #2 - Main Store in 14591 Stony Brook Blvd, Omaha, NE 68137 resulted in days away from work. Employee was delivery Driver in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Omaha #2 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 14591 Stony Brook Blvd
- City
- Omaha
- State
- NE
- ZIP
- 68137
- On-site location
- 4806 S 157th St Omaha Ne 68135 at a customers house with delivery van
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 63
- Days restricted or transferred
- 63
Before the incident
Employee was out on a delivery when he got out of the van to confirm an address and fell when he walked in front of the van.
What happened
He fell on an icy road when he got out of the van to confirm an address
Injury or illness
INJURY TYPE: Multiple Physical Injuries Only || BODY PART(S) AFFECTED: Multiple Upper Extremities
Object or substance involved
was out in a van
Summary line
fell getting out of van left rotator cuff tear from slip and fall on icy road
Employee and industry
- Job description
- Delivery Driver
- SOC code
- 53-3033: Light Truck Drivers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 309
- Hours worked at this establishment (2023 total)
- 363,458
- EIN
- 420325638
- Establishment ID
- 1028419
- Employer case #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 18:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Omaha #2 - 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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