Ankeny, IA ·
OSHA Injury Report: 1630 - ANKENY IA
Injury · Job transfer or restriction
At a glance
On , an injury at 1630 - ANKENY IA in 4000 NE Spectrum Dr., Ankeny, IA 50021 resulted in job transfer or restriction. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 1630 - ANKENY IA
- Parent company
- Costco Wholesale
- Street
- 4000 NE Spectrum Dr.
- City
- Ankeny
- State
- IA
- ZIP
- 50021
- On-site location
- Seasonal
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
Lifting Couch
What happened
Hit knee lifting a couch onto a flatbed
Injury or illness
Inflammation swelling Knee
Object or substance involved
Cardboard
Summary line
Inflammation swelling Knee Right Side Holding or Carrying Cardboard
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 215
- Hours worked at this establishment (2023 total)
- 326,639
- EIN
- 911223280
- Establishment ID
- 1217644
- Employer case #
- WC413F2386
When (timing detail)
- Date of incident
- Shift started
- 09:15
- Time of incident
- 13:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1630 - Ankeny IA
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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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