Monticello, IA —
OSHA Injury Report: FAREWAY STORES, INC. 840 MONTICELLO
Injury · Death
At a glance
On , an injury at FAREWAY STORES, INC. 840 MONTICELLO in 433 North Farley Street, Monticello, IA 52310 resulted in death. Employee was manager in grocery stores.
Where did this happen?
- Establishment
- FAREWAY STORES, INC. 840 MONTICELLO
- Parent company
- FAREWAY STORES, INC.
- Street
- 433 North Farley Street
- City
- Monticello
- State
- IA
- ZIP
- 52310
- On-site location
- Parking lot
What was the outcome?
- Outcome
- Death (code 1)
- Type
- Injury (code 1)
- Date of death
Before the incident
Walking outside
What happened
Person drove by and shot employee
Injury or illness
gunshot wound to upper torso
Object or substance involved
gunshot
Summary line
Fatal gunshot wound to the chest by person driving by
Employee and industry
- Job description
- Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Grocery stores
- NAICS vintage
- 2022
- Avg employees
- 78
- Total hours worked
- 69027
- EIN
- 420240920
- Establishment ID
- 681025
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 5:02:00.000
- Time of incident
- 7:21:00.000
- Filing year
- 2023
- Submitted
- 11JAN24:15:57:00
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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.