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Papillion, NE —

OSHA Injury Report: Papillion - Main Store

Injury · Other recordable case

At a glance

On , an injury at Papillion - Main Store in 11650 S 73rd St, Papillion, NE 68046 resulted in other recordable case. Employee was cstore Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
Papillion - Main Store
Parent company
HY-VEE, INC.
Street
11650 S 73rd St
City
Papillion
State
NE
ZIP
68046
On-site location
C-store outside

What was the outcome?

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

Before the incident

Going to see why the power washer was running water outside

What happened

There was water on the sidewalk by the power washer station and when the employee turn the corner to check why it was on there was a small patch of ice making the employee fall hitting her face falling on her side. Her back face and knee is in pain

Injury or illness

INJURY TYPE: Sprain || BODY PART(S) AFFECTED: Multiple Trunk

Object or substance involved

none

Summary line

Sprained left hand and had a contused face from falling on ice in exterior of the c-store

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
422
Total hours worked
439651
EIN
420325638
Establishment ID
1028439
Employer case #
2023-3

When (timing detail)

Date of incident
Shift started
4:00:00.000
Time of incident
4:05:00.000
Submitted
29FEB24:15:47:00

More injuries at Papillion - Main Store

View Papillion - 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.