Papillion, NE —
OSHA Injury Report: Papillion - Main Store
Injury · Other recordable case
At a glance
On , an injury at Papillion - Main Store in Papillion, NE 68046 resulted in other recordable case. Employee was cstore Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Papillion - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 11650 S 73rd St
- City
- Papillion
- State
- NE
- ZIP
- 68046
- On-site location
- C-store outside
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Going to see why the power washer was running water outside
What happened
There was water on the sidewalk by the power washer station and when the employee turn the corner to check why it was on there was a small patch of ice making the employee fall hitting her face falling on her side. Her back face and knee is in pain
Injury or illness
INJURY TYPE: Sprain || BODY PART(S) AFFECTED: Multiple Trunk
Object or substance involved
none
Summary line
Sprained left hand and had a contused face from falling on ice in exterior of the c-store
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
- Avg employees
- 422
- Total hours worked
- 439651
- EIN
- 420325638
- Establishment ID
- 1028439
- Employer case #
- 2023-3
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 4:05:00.000
- 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.