Waterloo, IA ·
OSHA Injury Report: Waterloo #3 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Waterloo #3 - Main Store in 1422 Flammang Dr, Waterloo, IA 50702 resulted in job transfer or restriction. Employee was genmrch Dept Mgr H in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Waterloo #3 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1422 Flammang Dr
- City
- Waterloo
- State
- IA
- ZIP
- 50702
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 113
Before the incident
Employee was walking into work slipped and fell on ice.
What happened
Employee slipped and fell on ice she was walking into work. Right arm seemed fine just soar and had a lump on the top of right hand. She was going to wait to ice it and see if it went away. When she woke up [REDACTED] it was swollen and she was in a lot of pain. She can 't lift arm above shoulder height can 't grip anything and very limited movement ability in right wrist.
Injury or illness
INJURY TYPE: Sprain || BODY PART(S) AFFECTED: - Lower Arm
Object or substance involved
n a
Summary line
Right wrist fracture from slip and fall on ice.
Employee and industry
- Job description
- Genmrch Dept Mgr H
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 254
- Hours worked at this establishment (2023 total)
- 290,363
- EIN
- 420325638
- Establishment ID
- 1028517
- Employer case #
- 2023-3
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 08:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Waterloo #3 - 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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