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 Omaha, NE 68164 resulted in other recordable case. Employee was sushi 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
- Chinese
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
cooking
What happened
[REDACTED] broke pull down to the ground
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
cooking with wok
Summary line
Wok broke and pulled arm bilateral shoulder strains
Employee and industry
- Job description
- Sushi Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 227
- Total hours worked
- 276142
- EIN
- 420325638
- Establishment ID
- 1028420
- Employer case #
- 2023-8
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 11:00:00.000
- Submitted
- 29FEB24:15:47:00
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.