WEST DES MOINES, IA —
OSHA Injury Report: 0788 - WEST DES MOINES IA
Injury · Days away from work
At a glance
On , an injury at 0788 - WEST DES MOINES IA in WEST DES MOINES, IA 22192 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0788 - WEST DES MOINES IA
- Parent company
- Costco Wholesale
- Street
- 7205 MILLS CIVIC PARKWAY
- City
- WEST DES MOINES
- State
- IA
- ZIP
- 22192
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 39
Before the incident
[REDACTED] trash
What happened
Walking to get trash durring [REDACTED] slipped on ledge in prep room and fell down on left side of body
Injury or illness
Bruise or Contusion Rib Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Rib Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 304
- Total hours worked
- 454219
- EIN
- 911223280
- Establishment ID
- 1217904
- Employer case #
- WC413F5951
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 21:40:00.000
- Submitted
- 04MAR24:19:39:00
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.