West Des Moines, IA ·
OSHA Injury Report: West Des Moines #3 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at West Des Moines #3 - Main Store in 1725 Jordan Creek Pkwy, West Des Moines, IA 50266 resulted in job transfer or restriction. Employee was dairy Dept Mgr H in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- West Des Moines #3 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1725 Jordan Creek Pkwy
- City
- West Des Moines
- State
- IA
- ZIP
- 50266
- On-site location
- Dairy
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
Catching box of eggs
What happened
In an attempt to catch a falling box of eggs the box struck the employee on the right arm
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: - Upper Arm (Clavicle and Scapula)
Object or substance involved
Box of eggs
Summary line
Right bicep rupture from catching a box of eggs.
Employee and industry
- Job description
- Dairy 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)
- 384
- Hours worked at this establishment (2023 total)
- 448,892
- EIN
- 420325638
- Establishment ID
- 1028526
- Employer case #
- 2023-13
When (timing detail)
- Date of incident
- Shift started
- 23:57
- Time of incident
- 00:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
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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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