PLYMOUTH, MN ·
OSHA Injury Report: 00051155-62 OFFICE WAREHOUSE PLYMOUTH MN
Injury · Other recordable case
At a glance
On , an injury at 00051155-62 OFFICE WAREHOUSE PLYMOUTH MN in 845-875 BERKSHIRE LANE N, PLYMOUTH, MN 55441 resulted in other recordable case. Employee was segment Manager in plumbing and Heating Equipment and Supplies Hydronics Merchant Wholesalers.
Where did this happen?
- Establishment
- 00051155-62 OFFICE WAREHOUSE PLYMOUTH MN
- Parent company
- Elite Distributors Insurance Company OFFICE WAREHOUSE PLYMOUTH MN
- Street
- 845-875 BERKSHIRE LANE N
- City
- PLYMOUTH
- State
- MN
- ZIP
- 55441
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING INTO BUILDING
What happened
Walking in to building slipped on mud in parking lot and landed on left elbow
Injury or illness
Fracture Left Elbow Fall on same level Mud
Object or substance involved
Mud
Summary line
Walking in to building slipped on mud in parking lot and landed on left elbow
Employee and industry
- Job description
- Segment Manager
- SOC code
- 41-1012: First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 423720: Plumbing and Heating Equipment and Supplies Hydronics Merchant Wholesalers
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 102
- Hours worked at this establishment (2024 total)
- 210,803
- EIN
- 450421041
- Establishment ID
- 1312638
- Employer case #
- 2898
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 07:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-17
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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