ANKENY, IA —
OSHA Injury Report: 4223-M3300
Injury · Job transfer or restriction
At a glance
On , an injury at 4223-M3300 in 3875 SE DELAWARE AVENUE, ANKENY, IA 50021 resulted in job transfer or restriction. Employee was cStore Team Lead in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M3300
- Street
- 3875 SE DELAWARE AVENUE
- City
- ANKENY
- State
- IA
- ZIP
- 50021
- On-site location
- Convenience Store
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
He was wiping down fridge doors
What happened
As he was wiping down the fridge doors a loose piece of tin at the bottom of the door sliced the bottom of his right thumb.
Injury or illness
Right thumb laceration
Object or substance involved
loose piece of metal tin
Summary line
Loose piece of tin sliced the bottom of right thumb- right thumb laceration.
Employee and industry
- Job description
- CStore Team Lead
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 161
- Total hours worked
- 163472
- EIN
- 410806238
- Establishment ID
- 446244
- Employer case #
- 255793
When (timing detail)
- Date of incident
- Shift started
- 5:20:00.000
- Time of incident
- 13:20:00.000
- Filing year
- 2023
- Submitted
- 06FEB24:20:37:00
More injuries at 4223-M3300
View 4223-M3300's full OSHA safety record →
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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 — no per-record IMIS deep link exists.