WEST DES MOINES, IA —
OSHA Injury Report: 0788 - WEST DES MOINES IA
Injury · Other recordable case
At a glance
On , an injury at 0788 - WEST DES MOINES IA in WEST DES MOINES, IA 22192 resulted in other recordable case. Employee was oPTICIAN LIC 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
- Parking lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Driving to work
What happened
Fell In parking lot
Injury or illness
Bruise or Contusion Shoulder Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Shoulder Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- OPTICIAN LIC
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 304
- Total hours worked
- 454219
- EIN
- 911223280
- Establishment ID
- 1217904
- Employer case #
- WC413F3112
When (timing detail)
- Date of incident
- Shift started
- 10:30:00.000
- Time of incident
- 10:22:00.000
- 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.