West Des Moines, IA ·
OSHA Injury Report: West Des Moines #3 - Main Store
Injury · Days away from work
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 days away from work. Employee was dishroom Clerk 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
- Dish Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 24
- Days restricted or transferred
- 24
Before the incident
Reaching to place an object on top shelf after cleaning
What happened
The large tub fell and struck employee on the top of the head it was not secure
Injury or illness
INJURY TYPE: No Physical Injury || BODY PART(S) AFFECTED: - Head - Soft Tissue
Object or substance involved
Large Tub for mixing food and other dishes
Summary line
Mild Concussion head injury (top of head)
Employee and industry
- Job description
- Dishroom Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- 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 #
- 2023-14
When (timing detail)
- Date of incident
- Shift started
- 07:03
- Time of incident
- 10:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at West Des Moines #3 - 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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