Spring Lake Park, MN —
OSHA Injury Report: Jerry's Floor Store - Spring Lake Park
Injury · Job transfer or restriction
At a glance
On , an injury at Jerry's Floor Store - Spring Lake Park in Spring Lake Park, MN 55432 resulted in job transfer or restriction. Employee was wAREHOUSE ASSISTANT 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 IN DELIVERY TRUCK
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 142
Before the incident
TURNING AN ELECTRIC PALLET JACK AROUND IN BACK OF TRUCK AND TRIPPED ON MANUAL PALLET JACK
What happened
TRIPPED ON PALLET JACK AND LEFT SHOULDER HIT THE FLOOR
Injury or illness
LEFT CLAVICLE BREAK
Object or substance involved
PALLET JACK FLOOR
Summary line
LEFT [REDACTED] BREAK - TRIPPED ON PALLET [REDACTED]
Employee and industry
- Job description
- WAREHOUSE ASSISTANT
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- 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 #
- 7
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 9:30:00.000
- Submitted
- 13FEB24:19:07:00
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.