Winterset, IA —
OSHA Injury Report: Winterset - Main Store
Injury · Other recordable case
At a glance
On , an injury at Winterset - Main Store in Winterset, IA 50273 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Winterset - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 923 N 1st St
- City
- Winterset
- State
- IA
- ZIP
- 50273
- On-site location
- Breakroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
going on break
What happened
Employee was on break getting on a barstool in the breakroom. Her foot slipped on the bottom rung of the chair and she fell
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Elbow
Object or substance involved
slipped getting up on a barstool in breakroom.
Summary line
right shoulder strained from fall getting off barstool.
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 86
- Total hours worked
- 91247
- EIN
- 420325638
- Establishment ID
- 1028534
- Employer case #
- 2023-1
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 10:30:00.000
- Submitted
- 29FEB24:15:48:00
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.