BLAINE, MN ·
OSHA Injury Report: 4223-M3100
Injury · Days away from work
At a glance
On , an injury at 4223-M3100 in 10250 LEXINGTON AVENUE NE, 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
- Employees at this establishment (2023 average)
- 200
- Hours worked at this establishment (2023 total)
- 198,499
- EIN
- 410806238
- Establishment ID
- 446242
- Employer case #
- 254362
When (timing detail)
- Date of incident
- Shift started
- 11:51
- Time of incident
- 19:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-08
More injuries at 4223-M3100
View 4223-M3100's full OSHA safety record →
More injuries in this industry (NAICS 452319)
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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