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 West Des Moines, IA 50266 resulted in job transfer or restriction. Employee was mrktgrl 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
- Kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 90
Before the incident
Employee was carrying chicken to workstation from the cooler and didn 't see the water on the floor with the plastic sign in it.
What happened
Employee was carrying the lug of rotisserie chicken and didn 't see the water and plastic sign on the floor.
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: - Knee
Object or substance involved
Water on the floor with a plastic sign while carrying a lug of chicken.
Summary line
Right knee strain from slip and fall on plastic sign on floor.
Employee and industry
- Job description
- Mrktgrl Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- 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 #
- 2023-10
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 7:40:00.000
- 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.