West Des Moines, IA ·
OSHA Injury Report: West Des Moines #4 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at West Des Moines #4 - Main Store in 555 S 51st St, West Des Moines, IA 50265 resulted in job transfer or restriction. Employee was hlth Mrkt Dept Mgr H in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- West Des Moines #4 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 555 S 51st St
- City
- West Des Moines
- State
- IA
- ZIP
- 50265
- On-site location
- Backroom
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 30
Before the incident
reaching to get a box from above and lost balance.
What happened
Employee was reaching for a box above her head and lost her footing. She stumbled backwards and fell off a pallet and hit her tail bone and head on the concrete.
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Head - Soft Tissue
Object or substance involved
N A
Summary line
Concussion from losing of balance while reaching for a box falling on the concrete floor.
Employee and industry
- Job description
- Hlth Mrkt 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)
- 371
- Hours worked at this establishment (2023 total)
- 380,231
- EIN
- 420325638
- Establishment ID
- 1028527
- Employer case #
- 2023-20
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 14:30
- 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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