LAKEVILLE, MN —
OSHA Injury Report: 4223-M2500
Injury · Days away from work
At a glance
On , an injury at 4223-M2500 in LAKEVILLE, MN 55044 resulted in days away from work. Employee was general Manager in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M2500
- Street
- 17070 KENRICK AVE
- City
- LAKEVILLE
- State
- MN
- ZIP
- 55044
- On-site location
- Sales Floor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
- Days restricted or transferred
- 55
Before the incident
Lowering a cabinet (approx. 400-500 lbs.) for the gun counter from pallet to the floor.
What happened
He tweaked something in his mid and lower back. Later [REDACTED] at home he bent down to pick something up and this dropped him down to the floor and he could not get back up.
Injury or illness
Lumbar back pain
Object or substance involved
Cabinet weight approx. 400-500 lbs.
Summary line
Lowering cabinet for gun counter from pallet to floor pain in mid and lower back
Employee and industry
- Job description
- General Manager
- SOC code
- 11-1021 — General and Operations Managers
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 203
- Total hours worked
- 202179
- EIN
- 410806238
- Establishment ID
- 446236
- Employer case #
- 263520
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 7:00:00.000
- Submitted
- 14FEB24:20:21:00
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.