SIOUX FALLS, SD ·
OSHA Injury Report: 4223-M5500
Other illness · Other recordable case
At a glance
On , an other illness at 4223-M5500 in 3035 W FLEET STREET, SIOUX FALLS, SD 571E6 resulted in other recordable case. Employee was sales 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
- Sales Floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Other illness (code 6)
Before the incident
He was punching out from his shift
What happened
He passed out falling to the ground hitting his right knee and twisting his right ankle when he fell breaking his glasses with a cut above his left eye.
Injury or illness
Laceration above right eye syncope episode with knee strain ankle strain
Object or substance involved
fall
Summary line
Passed out fell hitting right knee twisting right ankle broke glasses cut above right eye
Employee and industry
- Job description
- Sales Team Member
- SOC code
- 41-2031: Retail Salespersons
- NAICS code
- 452319: All Other General Merchandise Stores
- NAICS vintage
- 2017
- Employees at this establishment (2023 average)
- 108
- Hours worked at this establishment (2023 total)
- 137,319
- EIN
- 410806238
- Establishment ID
- 546701
- Employer case #
- 261904
When (timing detail)
- Date of incident
- Shift started
- 12:01
- Time of incident
- 20:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at 4223-M5500
View 4223-M5500's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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