Omaha, NE ·
OSHA Injury Report: Omaha #4 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Omaha #4 - Main Store in 10808 Fort St, Omaha, NE 68164 resulted in other recordable case. Employee was produce Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Omaha #4 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 10808 Fort St
- City
- Omaha
- State
- NE
- ZIP
- 68164
- On-site location
- Offsite
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Floral delivery
What happened
tripped on raised concrete sidewalk
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Hand
Object or substance involved
walking
Summary line
Head and right knee contusion from trip fall on raised concrete
Employee and industry
- Job description
- Produce Clerk
- SOC code
- 53-7062: Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 227
- Hours worked at this establishment (2023 total)
- 276,142
- EIN
- 420325638
- Establishment ID
- 1028420
- Employer case #
- 2023-6
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 11:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Omaha #4 - Main Store
View Omaha #4 - Main Store's full OSHA safety record →
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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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