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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Waukee, IA —

OSHA Injury Report: 4223-M5900

Injury · Days away from work

At a glance

On , an injury at 4223-M5900 in 1300 SE Kettlestone Blvd, Waukee, IA 50263 resulted in days away from work. Employee was inventory Control Coordinator in hardware stores.

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Where did this happen?

Establishment
4223-M5900
Parent company
Fleet Farm Wholesale Supply Co. LLC
Street
1300 SE Kettlestone Blvd
City
Waukee
State
IA
ZIP
50263
On-site location
Parking Lot

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
180

Before the incident

He was carrying a bag of seed outside to throw away

What happened

He went out the small back door slipped on ice falling forward onto both knees hip and shoulder causing injury to both knees left hip left shoulder back and neck.

Injury or illness

Cervicalgia dorsalgia contusion of left knee

Object or substance involved

ice concrete ground

Summary line

Slipped on ice injured both knees left hip left shoulder and neck

Employee and industry

Job description
Inventory Control Coordinator
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
444130 — Hardware stores
NAICS vintage
2017
Avg employees
126
Total hours worked
136734
EIN
410806238
Establishment ID
837968
Employer case #
252186

When (timing detail)

Date of incident
Shift started
4:20:00.000
Time of incident
10:12:00.000
Filing year
2023
Submitted
29FEB24:14:11:00

More injuries at 4223-M5900

View 4223-M5900'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.