Waverly, IA —
OSHA Injury Report: Waverly - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Waverly - Main Store in 1311 4th St SW, Waverly, IA 50677 resulted in job transfer or restriction. Employee was bakery Cake Designer in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Waverly - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 1311 4th St SW
- City
- Waverly
- State
- IA
- ZIP
- 50677
- On-site location
- Bakery
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
Walking behind counter in bakery
What happened
Walking out of decorating area and slipped fell down
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Back - disc
Object or substance involved
N A
Summary line
Left knee sprain: lower back strain from slip and fall on unknown substance.
Employee and industry
- Job description
- Bakery Cake Designer
- SOC code
- 51-3011 — Bakers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 112
- Total hours worked
- 133927
- EIN
- 420325638
- Establishment ID
- 1028519
- Employer case #
- 2023-6
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 11:20:00.000
- Filing year
- 2023
- Submitted
- 29FEB24:15:47:00
More injuries at Waverly - Main Store
Waverly, IA—
Waverly - Main Store
Waverly, IA—
Waverly - Main Store
Waverly, IA—
Waverly - Main Store
Waverly, IA—
Waverly - Main Store
Waverly, IA—
Waverly - Main Store
View Waverly - 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 IA
WEST BURLINGTON, IA—
WM 797
DES MOINES, IA—
WM 1723
DES MOINES, IA—
WM 1723
Des Moines, IA—
Wesley on Grand
Grimes, IA—
DCC 543200 Owens and MinorDCCGrimes IA
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.