West Des Moines, IA —
OSHA Injury Report: West Des Moines #3 - Main Store
Injury · Other recordable case
At a glance
On , an injury at West Des Moines #3 - Main Store in West Des Moines, IA 50266 resulted in other recordable case. Employee was online Prsnl Shopper 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
- Near the bakery in front of the double doors leading to the backroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking pushing a mop and bucket
What happened
While walking the mop and bucket to the backroom it clipped a pallet laying on the floor and the employee tripped over the bucket.
Injury or illness
INJURY TYPE: Laceration || BODY PART(S) AFFECTED: - Skull
Object or substance involved
Mop and Bucket
Summary line
Laceration above the left eye when employee fell face first on the floor
Employee and industry
- Job description
- Online Prsnl Shopper
- SOC code
- 41-9099 — Sales and Related Workers, All Other
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 384
- Total hours worked
- 448892
- EIN
- 420325638
- Establishment ID
- 1028526
- Employer case #
- 2023-5
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 13:30:00.000
- 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.