Safety Incidents OSHA Severe Injury Reports · 2015–2025
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Fort Madison, IA —

OSHA Injury Report: Fort Madison - Main Store

Injury · Other recordable case

At a glance

On , an injury at Fort Madison - Main Store in 2606 Avenue L, Fort Madison, IA 52627 resulted in other recordable case. Employee was cstore Clerk in supermarkets and Other Grocery (except Convenience) Stores.

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Where did this happen?

Establishment
Fort Madison - Main Store
Parent company
HY-VEE, INC.
Street
2606 Avenue L
City
Fort Madison
State
IA
ZIP
52627
On-site location
C-store

What was the outcome?

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

Before the incident

brewing tea

What happened

brewing tea pulled out basket with tea bags in before tea was finished brewing forgot to check the timer

Injury or illness

INJURY TYPE: Burn || BODY PART(S) AFFECTED: - Chest(Ribs Sternum & Soft Tissue)

Object or substance involved

tea brewer hot water tea bags

Summary line

Burn on chest area from pulling out tea brewer basket before timer went off tea still brewing

Employee and industry

Job description
Cstore Clerk
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
139
Total hours worked
174595
EIN
420325638
Establishment ID
1028311
Employer case #
2023-1

When (timing detail)

Date of incident
Shift started
3:45:00.000
Time of incident
4:15:00.000
Filing year
2023
Submitted
29FEB24:15:46:00

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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.