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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Davenport, IA —

OSHA Injury Report: Davenport #5 - Main Store

Injury · Job transfer or restriction

At a glance

On , an injury at Davenport #5 - Main Store in 2351 W Locust St, Davenport, IA 52804 resulted in job transfer or restriction. Employee was frozen Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
Davenport #5 - Main Store
Parent company
HY-VEE, INC.
Street
2351 W Locust St
City
Davenport
State
IA
ZIP
52804
On-site location
Frozen freezer

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
166

Before the incident

Sweeping under racks in freezer

What happened

Employee was sweeping under the racks in the freezer when he slipped and hit his left arm on the rack. His arm began to swell and bruise.

Injury or illness

INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Upper Arm (Clavicle and Scapula)

Object or substance involved

Broom

Summary line

Left distal bicep tendon tear from hitting arm on rack

Employee and industry

Job description
Frozen Clerk
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
241
Total hours worked
287149
EIN
420325638
Establishment ID
1028278
Employer case #
2023-5

When (timing detail)

Date of incident
Shift started
8:00:00.000
Time of incident
8:20:00.000
Submitted
29FEB24:15:45:00

More injuries at Davenport #5 - Main Store

View Davenport #5 - 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.