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WEST DES MOINES, IA —

OSHA Injury Report: 0788 - WEST DES MOINES IA

Injury · Other recordable case

At a glance

On , an injury at 0788 - WEST DES MOINES IA in 7205 MILLS CIVIC PARKWAY, WEST DES MOINES, IA 22192 resulted in other recordable case. Employee was oPTICIAN LIC in wholesale Grocer.

Where did this happen?

Establishment
0788 - WEST DES MOINES IA
Parent company
Costco Wholesale
Street
7205 MILLS CIVIC PARKWAY
City
WEST DES MOINES
State
IA
ZIP
22192
On-site location
Parking lot

What was the outcome?

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

Before the incident

Driving to work

What happened

Fell In parking lot

Injury or illness

Bruise or Contusion Shoulder Left Side

Object or substance involved

Floor Walking Surface

Summary line

Bruise or Contusion Shoulder Left Side Fall from Same Level Floor Walking Surface

Employee and industry

Job description
OPTICIAN LIC
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
304
Total hours worked
454219
EIN
911223280
Establishment ID
1217904
Employer case #
WC413F3112

When (timing detail)

Date of incident
Shift started
10:30:00.000
Time of incident
10:22:00.000
Submitted
04MAR24:19:39:00

More injuries at 0788 - WEST DES MOINES IA

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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.