SIOUX FALLS, SD —
OSHA Injury Report: 4223-M5500
Injury · Job transfer or restriction
At a glance
On , an injury at 4223-M5500 in SIOUX FALLS, SD 571E6 resulted in job transfer or restriction. Employee was customer Service Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M5500
- Street
- 3035 W FLEET STREET
- City
- SIOUX FALLS
- State
- SD
- ZIP
- 571E6
- On-site location
- Back room of store
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
She was walking into the backroom to clock in for her shift
What happened
She tripped over a rug on the floor falling and landing on both knees right elbow and left hand. Injuring the lower back right elbow both knees and left hand.
Injury or illness
multiple strains
Object or substance involved
rug and concrete floor
Summary line
Tripped over rug on floor landed on both knees right elbow left hand
Employee and industry
- Job description
- Customer Service Team Member
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 108
- Total hours worked
- 137319
- EIN
- 410806238
- Establishment ID
- 546701
- Employer case #
- 254281
When (timing detail)
- Date of incident
- Shift started
- 15:52:00.000
- Time of incident
- 15:55:00.000
- Submitted
- 28FEB24:16:33:00
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.