Pleasant Hill, IA —
OSHA Injury Report: Pleasant Hill - Main Store
Injury · Other recordable case
At a glance
On , an injury at Pleasant Hill - Main Store in 4815 Maple Dr, Pleasant Hill, IA 50327 resulted in other recordable case. Employee was customer Service in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Pleasant Hill - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 4815 Maple Dr
- City
- Pleasant Hill
- State
- IA
- ZIP
- 50327
- On-site location
- near customer service
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking to customer service
What happened
sneaker caught on title floor and she fell into a counter then on the floor. [REDACTED] left check right arm shoulder and middle of back
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: - Upper Back Area (Thoracic Area)
Object or substance involved
NA
Summary line
face low back rt shoulder contusion from trip and fall on floor
Employee and industry
- Job description
- Customer Service
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 191
- Total hours worked
- 217435
- EIN
- 420325638
- Establishment ID
- 1028448
- Employer case #
- 2023-4
When (timing detail)
- Date of incident
- Shift started
- 8:02:00.000
- Time of incident
- 9:30:00.000
- Filing year
- 2023
- Submitted
- 29FEB24:15:47:00
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View Pleasant Hill - Main Store's full OSHA safety record →
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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.