Waverly, IA ·
OSHA Injury Report: FAREWAY STORES, INC. 561 WAVERLY
Injury · Job transfer or restriction
At a glance
On , an injury at FAREWAY STORES, INC. 561 WAVERLY in 222 West Bremer Ave., Waverly, IA 50677 resulted in job transfer or restriction. Employee was market Clerk in grocery stores.
Where did this happen?
- Establishment
- FAREWAY STORES, INC. 561 WAVERLY
- Parent company
- FAREWAY STORES, INC.
- Street
- 222 West Bremer Ave.
- City
- Waverly
- State
- IA
- ZIP
- 50677
- On-site location
- Market Prep Area
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
Walking through back room
What happened
slipped on water by sink and fell to floor
Injury or illness
Lower back pain
Object or substance involved
floor
Summary line
Slipped on market floor and had pain in lower back
Employee and industry
- Job description
- Market Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Grocery stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 126
- Hours worked at this establishment (2024 total)
- 109,467
- EIN
- 420240920
- Establishment ID
- 680832
- Employer case #
- 01
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 11:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-01-13
More injuries at Fareway Stores, INC. 561 Waverly
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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