Robbinsdale, MN —
OSHA Injury Report: Robbinsdale - Main Store
Injury · Days away from work
At a glance
On , an injury at Robbinsdale - Main Store in Robbinsdale, MN 55422 resulted in days away from work. Employee was coffee Asst Dept Mgr in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Robbinsdale - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 3505 Bottineau Blvd
- City
- Robbinsdale
- State
- MN
- ZIP
- 55422
- On-site location
- Dish Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 17
- Days restricted or transferred
- 17
Before the incident
Employee was walking through a door
What happened
Employee was walking through the back room door from the C-[REDACTED] dish room into the Starbucks back room with a mop and mop bucket to go mop the floors. Slipped on wet floor in dish room and fell on right elbow back and hit back of head on the floor.
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: Multiple Upper Extremities
Object or substance involved
Mop and Mop Bucket
Summary line
Left hip contusion from slip and fall on wet floor
Employee and industry
- Job description
- Coffee Asst Dept Mgr
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 239
- Total hours worked
- 301004
- EIN
- 420325638
- Establishment ID
- 1028461
- Employer case #
- 2023-4
When (timing detail)
- Date of incident
- Shift started
- 11:57:00.000
- Time of incident
- 20:41:00.000
- Submitted
- 29FEB24:15:47:00
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.