Ottumwa, IA ·
OSHA Injury Report: Ottumwa #1 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Ottumwa #1 - Main Store in 1025 N Quincy Ave, Ottumwa, IA 52501 resulted in job transfer or restriction. Employee was day Stocker in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Ottumwa #1 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1025 N Quincy Ave
- City
- Ottumwa
- State
- IA
- ZIP
- 52501
- On-site location
- in the aisle
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 74
Before the incident
was stocking cereal
What happened
when Employee was standing on the milk crate stocking it slipped out from under him and he fell on right forarm and elbow
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Elbow
Object or substance involved
was standing on a milk crate and stocking cereal
Summary line
neck lower back rt knee elbow hip shoulder contusion from falling off crate onto floor.
Employee and industry
- Job description
- Day Stocker
- 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)
- 178
- Hours worked at this establishment (2023 total)
- 214,545
- EIN
- 420325638
- Establishment ID
- 1028434
- Employer case #
- 2023-10
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 03:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Ottumwa #1 - 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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