Liberty, MO —
OSHA Injury Report: Liberty - Main Store
Injury · Other recordable case
At a glance
On , an injury at Liberty - Main Store in 109 N Blue Jay Dr, Liberty, MO 64068 resulted in other recordable case. Employee was miaitlnClerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Liberty - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 109 N Blue Jay Dr
- City
- Liberty
- State
- MO
- ZIP
- 64068
- On-site location
- freezer
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was grabbing a box off of a rack in the freezer.
What happened
Employee was in freezer of the Mia Pizza department and was attempting to get a box off of a rack. While reaching for the box he slipped and his knee popped out and fell to the ground then hit his head. Employee believes he could have passed out for a minute or two.
Injury or illness
INJURY TYPE: Laceration || BODY PARTS AFFECTED: Head Soft Tissue
Object or substance involved
concrete floor
Summary line
laceration to head while grabbing boxes- he slipped and fell to the ground and hit his head.
Employee and industry
- Job description
- MiaitlnClerk
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 392
- Total hours worked
- 441912
- EIN
- 420325638
- Establishment ID
- 1028369
- Employer case #
- 2025-15
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 12:30
- Filing year
- 2025
- Submitted
- 27FEB26:18:35:00
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View Liberty - Main Store's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.