BLAINE, MN —
OSHA Injury Report: 4223-M3100
Injury · Days away from work
At a glance
On , an injury at 4223-M3100 in BLAINE, MN 55014 resulted in days away from work. Employee was sales Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M3100
- Street
- 10250 LEXINGTON AVENUE NE
- City
- BLAINE
- State
- MN
- ZIP
- 55014
- On-site location
- Parking lot of the store
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 35
- Days restricted or transferred
- 145
Before the incident
Walking outside of the store.
What happened
He slipped on ice and fell and hit his head and injured his lower back.
Injury or illness
Head contusion
Object or substance involved
ice and cement
Summary line
Slipped on ice and fell hitting head and injuring low back.
Employee and industry
- Job description
- Sales Team Member
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 200
- Total hours worked
- 198499
- EIN
- 410806238
- Establishment ID
- 446242
- Employer case #
- 254362
When (timing detail)
- Date of incident
- Shift started
- 11:51:00.000
- Time of incident
- 19:45:00.000
- Submitted
- 08FEB24:19:32:00
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.