Omaha, NE ·
OSHA Injury Report: Omaha #9 - Main Store
Injury · Days away from work
At a glance
On , an injury at Omaha #9 - Main Store in 17810 Welch Plz, Omaha, NE 68135 resulted in days away from work. Employee was cstore Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Omaha #9 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 17810 Welch Plz
- City
- Omaha
- State
- NE
- ZIP
- 68135
- On-site location
- Carwash
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 4
Before the incident
He had gone out to get supplies from the storage in the carwash Went through the carwash door instead of the exterior door
What happened
He was going out to get the supplies from the storage in the carwash he was trying to go through the door in the carwash instead of the exterior door it is suspected he forgot the keys and decided to go through the interior carwash door because it doesn 't lock properly instead of coming back in to get the keys he slipped and fell landing on his backside and hitting the back of his had
Injury or illness
INJURY TYPE: Concussion || BODY PART(S) AFFECTED: Multiple Head Injury
Object or substance involved
not using any materials
Summary line
Slip and Fall on wet concrete floor in Car Wash. Concussion to back of head.
Employee and industry
- Job description
- Cstore Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 371
- Hours worked at this establishment (2023 total)
- 405,950
- EIN
- 420325638
- Establishment ID
- 1028424
- Employer case #
- 2023-14
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 18:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Omaha #9 - 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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