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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 03491A FREE STANDING UNITS - FSU-10911 ANDREW JOHNSON

Injury · Job transfer or restriction

On , an injury at 03491A FREE STANDING UNITS - FSU-10911 ANDREW JOHNSON in BURNSVILLE, MN 553374431 resulted in job transfer or restriction. Employee was supervisor in limited-Service Restaurants.

Establishment
03491A FREE STANDING UNITS - FSU-10911 ANDREW JOHNSON
Parent company
Chick-fil-A, Inc. FREE STANDING UNITS - FSU-10911 ANDREW JOHNSON
Street
1200 COUNTY ROAD 42 W
City
BURNSVILLE
State
MN
ZIP
553374431
On-site location
06 BREAKROOM
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
30

WALKING BACK INTO STORE

Was coming inside after delivering an order to a guest and slipped on a patch of ice and hit her head

Concussion Anterior Head Fall on ice snow ice

ice

Was coming inside after delivering an order to a guest and slipped on a patch of ice and hit her hea

Job description
Supervisor
SOC code
9999 — Uncoded
NAICS code
722513 — Limited-Service Restaurants
NAICS vintage
2022
Avg employees
100
Total hours worked
249600
EIN
474351418
Establishment ID
1349003
Employer case #
84752
Date of incident
Shift started
9:30
Time of incident
11:40
Filing year
2024
Submitted
26FEB2025:21:00:00

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.