Omaha, NE —
OSHA Injury Report: Omaha #9 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Omaha #9 - Main Store in Omaha, NE 68135 resulted in other recordable case. Employee was service Manager 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
- Parking Lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was getting out of car and walking across parking lot into work
What happened
Light snow- and ice-covered parking lot
Injury or illness
INJURY TYPE: Concussion || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
Walking across parking lot in to work
Summary line
Right shoulder discomfort- fall on ice.
Employee and industry
- Job description
- Service Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 371
- Total hours worked
- 405950
- EIN
- 420325638
- Establishment ID
- 1028424
- Employer case #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 6:55:00.000
- Time of incident
- 6:55:00.000
- 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.