Waverly, IA —
OSHA Injury Report: Waverly - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Waverly - Main Store in Waverly, IA 50677 resulted in job transfer or restriction. Employee was bakery Cake Designer in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Waverly - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1311 4th St SW
- City
- Waverly
- State
- IA
- ZIP
- 50677
- On-site location
- Bakery
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
Walking behind counter in bakery
What happened
Walking out of decorating area and slipped fell down
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Back - disc
Object or substance involved
N A
Summary line
Left knee sprain: lower back strain from slip and fall on unknown substance.
Employee and industry
- Job description
- Bakery Cake Designer
- SOC code
- 51-3011 — Bakers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 112
- Total hours worked
- 133927
- EIN
- 420325638
- Establishment ID
- 1028519
- Employer case #
- 2023-6
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 11:20:00.000
- 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.