Spring Lake Park, MN —
OSHA Injury Report: Jerry's Floor Store - Spring Lake Park
Injury · Other recordable case
At a glance
On , an injury at Jerry's Floor Store - Spring Lake Park in Spring Lake Park, MN 55432 resulted in other recordable case. Employee was iNSTALLER in floor covering stores (except wood or ceramic tile only).
Where did this happen?
- Establishment
- Jerry's Floor Store - Spring Lake Park
- Parent company
- Jerry's Floor Store Inc.
- Street
- 1550 County Highway 10
- City
- Spring Lake Park
- State
- MN
- ZIP
- 55432
- On-site location
- JOBSITE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] A FLOOR ON JOBSITE WITH RENTED [REDACTED]
What happened
[REDACTED] HAD A CUT IN CORD WITH EXPOSED WIRES WHICH TOUCHED EMPLOYEE 'S SHOULDER AND SHOCKED HIM AND SLAMMED HIM INTO THE WALL
Injury or illness
ELECTRIC SHOCK WITH PAIN AND TINGLING IN BACK ARMS AND HANDS
Object or substance involved
FAULTY ELECTRICAL CORD ON RENTED SANDER
Summary line
ELECTRIC SHOCK FROM RENTED SANDER CORD
Employee and industry
- Job description
- INSTALLER
- SOC code
- 49-9099 — Installation, Maintenance, and Repair Workers, All Other
- NAICS code
- 442210 — Floor covering stores (except wood or ceramic tile only)
- NAICS vintage
- 2017
- Avg employees
- 42
- Total hours worked
- 82342
- EIN
- 411528919
- Establishment ID
- 667857
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 8:40:00.000
- Submitted
- 13FEB24:18:39:00
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.