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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Ankeny, IA —

OSHA Injury Report: 1630 ANKENY IA WHSE

Injury · Other recordable case

At a glance

On , an injury at 1630 ANKENY IA WHSE in 4000 NE Spectrum Dr., Ankeny, IA 50021 resulted in other recordable case. Employee was mEMBERSHIP CLERK in wholesale Grocer.

Where did this happen?

Establishment
1630 ANKENY IA WHSE
Parent company
COSTCO WHOLESALE
Street
4000 NE Spectrum Dr.
City
Ankeny
State
IA
ZIP
50021
On-site location
Breakroom

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Employee was eating on break

What happened

Employee was on break eating a mandarin that was provided for employees and bite down on a seed Their tooth boke

Injury or illness

Dental Teeth

Object or substance involved

Foreign Body

Summary line

Dental Teeth Right Side Foreign Body Foreign Body

Employee and industry

Job description
MEMBERSHIP CLERK
SOC code
00-9900 — Insufficient Information - NIOSH
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
226
Total hours worked
341366
EIN
911223280
Establishment ID
1378930
Employer case #
WC413G554

When (timing detail)

Date of incident
Shift started
14:00
Time of incident
16:00
Filing year
2025
Submitted
28FEB26:00:32:00

More injuries at 1630 ANKENY IA WHSE

View 1630 ANKENY IA WHSE'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.