BURNSVILLE, MN ·
OSHA Injury Report: 03491A FREE STANDING UNITS - FSU-10911 ANDREW JOHNSON
Injury · Job transfer or restriction
At a glance
On , an injury at 03491A FREE STANDING UNITS - FSU-10911 ANDREW JOHNSON in 1200 COUNTY ROAD 42 W, BURNSVILLE, MN 553374431 resulted in job transfer or restriction. Employee was supervisor in limited-Service Restaurants.
Where did this happen?
- 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
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 30
Before the incident
WALKING BACK INTO STORE
What happened
Was coming inside after delivering an order to a guest and slipped on a patch of ice and hit her head
Injury or illness
Concussion Anterior Head Fall on ice snow ice
Object or substance involved
ice
Summary line
Was coming inside after delivering an order to a guest and slipped on a patch of ice and hit her hea
Employee and industry
- Job description
- Supervisor
- SOC code
- 9999: Uncoded
- NAICS code
- 722513: Limited-Service Restaurants
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 100
- Hours worked at this establishment (2024 total)
- 249,600
- EIN
- 474351418
- Establishment ID
- 1349003
- Employer case #
- 84752
When (timing detail)
- Date of incident
- Shift started
- 09:30
- Time of incident
- 11:40
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-26
More injuries in this industry (NAICS 722513)
More injuries in MN
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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