Independence, MO —
OSHA Injury Report: Independence #2 - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Independence #2 - Main Store in 4545 S Noland Rd, Independence, MO 64055 resulted in job transfer or restriction. Employee was coffee Shop Dept Mgr in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Independence #2 - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 4545 S Noland Rd
- City
- Independence
- State
- MO
- ZIP
- 64055
- On-site location
- Starbucks Department
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 99
Before the incident
Scooping Ice for Coffee Drinks
What happened
Pulling and Pushing the ice scoop to retrieve ice for drinks
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Upper Arm (Clavicle and Scapula)
Object or substance involved
Ice Scoop and Ice Bin
Summary line
Left shoulder strain scooping ice with ice scoop.
Employee and industry
- Job description
- Coffee Shop Dept Mgr
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 222
- Total hours worked
- 297141
- EIN
- 420325638
- Establishment ID
- 1028333
- Employer case #
- 2023-8
When (timing detail)
- Date of incident
- Shift started
- 4:30:00.000
- Time of incident
- 8:30:00.000
- Submitted
- 29FEB24:15:46:00
More injuries at Independence #2 - Main Store
Independence, MO—
Independence 2 - Main Store
Independence, MO—
Independence 2 - Main Store
Independence, MO—
Independence 2 - Main Store
Independence, MO—
Independence 2 - Main Store
Independence, MO—
Independence 2 - Main Store
View Independence #2 - Main Store's full OSHA safety record →
More injuries in this industry (NAICS 445110)
Albuquerque, NM—
060-Albuquerque NM
Los Angeles, CA—
500-Hooper CA
AMARILLO, TX—
WM 4464
NEWTON, NC—
WM 4432
ALBUQUERQUE, NM—
WM 3385
More injuries in MO
LEES SUMMIT, MO—
WM 573
SAINT JOSEPH, MO—
WM 2994
NIXA, MO—
WM 2702
KIRKWOOD, MO—
WM 2694
DESLOGE, MO—
WM 95
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.