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 tire Service and Alignment Tech 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
- Auto Service Center
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 90
Before the incident
Working in the Auto Service Center and was stepping over tires.
What happened
He fell while trying to step over the tires and landed on his left arm that was in an extended position.
Injury or illness
Contusion musculoskeletal symptoms
Object or substance involved
Tires concrete floor
Summary line
Stepping over tires and fell landing on left arm- left shoulder strain
Employee and industry
- Job description
- Tire Service and Alignment Tech
- SOC code
- 49-3093 — Tire Repairers and Changers
- 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 #
- 262346
When (timing detail)
- Date of incident
- Shift started
- 8:30:00.000
- Time of incident
- 10:30:00.000
- Filing year
- 2023
- Submitted
- 06FEB24:20:55:00
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.