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 1725 Jordan Creek Pkwy, 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
- Employees at this establishment (2023 average)
- 384
- Hours worked at this establishment (2023 total)
- 448,892
- EIN
- 420325638
- Establishment ID
- 1028526
- Employer case #
- 2023-5
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 13:30
- 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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