Waverly, IA ·
OSHA Injury Report: Waverly - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Waverly - Main Store in 1311 4th St SW, 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
- Employees at this establishment (2023 average)
- 112
- Hours worked at this establishment (2023 total)
- 133,927
- EIN
- 420325638
- Establishment ID
- 1028519
- Employer case #
- 2023-6
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 11:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Waverly - 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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