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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Davenport, IA —

OSHA Injury Report: Davenport #4 - Main Store

Injury · Job transfer or restriction

At a glance

On , an injury at Davenport #4 - Main Store in 4064 E 53rd St, Davenport, IA 52807 resulted in job transfer or restriction. Employee was aol Shopper in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
Davenport #4 - Main Store
Parent company
HY-VEE, INC.
Street
4064 E 53rd St
City
Davenport
State
IA
ZIP
52807
On-site location
Market Grille Wahlburgers

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
86

Before the incident

Mopping the floor

What happened

While mopping the floor near the pop machines in the dining room [REDACTED] slipped and fell striking her left side on the tile floor. She struck her elbow hip and shoulder.

Injury or illness

INJURY TYPE: Contusion || BODY PART(S) AFFECTED: Multiple Upper Extremities

Object or substance involved

Employee was mopping the floor and slipped and fell

Summary line

left hip contusion and left radius fracture from slip and fall on wet floor.

Employee and industry

Job description
Aol Shopper
SOC code
41-2011 — Cashiers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
282
Total hours worked
317385
EIN
420325638
Establishment ID
1028277
Employer case #
2023-8

When (timing detail)

Date of incident
Shift started
12:30:00.000
Time of incident
19:20:00.000
Submitted
29FEB24:15:45:00

More injuries at Davenport #4 - Main Store

View Davenport #4 - Main Store's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.