MONTICELLO, MN —
OSHA Injury Report: 4223-M3700
Injury · Days away from work
At a glance
On , an injury at 4223-M3700 in MONTICELLO, MN 55362 resulted in days away from work. Employee was sales Team Lead in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M3700
- Street
- 320 CHELSEA ROAD
- City
- MONTICELLO
- State
- MN
- ZIP
- 55362
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
He was in the parking lot walking into work with his hands in his pockets
What happened
He slipped on ice falling and landing on both elbows and his tailbone with his head whipping backwards hitting the back of his head on the ground.
Injury or illness
Contusion to both elbows
Object or substance involved
Ice and concrete
Summary line
Slipped fell on ice both elbows tailbone head.
Employee and industry
- Job description
- Sales Team Lead
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 166
- Total hours worked
- 153172
- EIN
- 410806238
- Establishment ID
- 446248
- Employer case #
- 252364
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 6:58:00.000
- Submitted
- 20FEB24:19:54:00
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.