Waterloo, IA ·
OSHA Injury Report: Waterloo #3 - Main Store
Injury · Other recordable case
At a glance
On , an injury at Waterloo #3 - Main Store in 1422 Flammang Dr, Waterloo, IA 50702 resulted in other recordable case. Employee was floral Clerk 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
- Floral
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
cutting a zip tie
What happened
employee was unpacking product for floral and while cutting the box open the injury occurred
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Lower Arm
Object or substance involved
employee was using a box cutter
Summary line
Left forearm laceration from removing sip ties with box cutter.
Employee and industry
- Job description
- Floral Clerk
- SOC code
- 27-1023: Floral Designers
- 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 #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 09:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Waterloo #3 - Main Store
View Waterloo #3 - Main Store's full OSHA safety record →
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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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