FARGO, ND —
OSHA Injury Report: 4223-M2800
Injury · Other recordable case
At a glance
On , an injury at 4223-M2800 in FARGO, ND 58104 resulted in other recordable case. Employee was sales Team Lead in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M2800
- Street
- 3730 35TH ST SOUTH
- City
- FARGO
- State
- ND
- ZIP
- 58104
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking in the parking lot of the store
What happened
slipped on ice in the parking lot
Injury or illness
Left elbow contusion neck sprain
Object or substance involved
Ice and concrete ground
Summary line
Slip and fall landed on elbow and sprained neck
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
- 160
- Total hours worked
- 186420
- EIN
- 410806238
- Establishment ID
- 446239
- Employer case #
- 8
When (timing detail)
- Date of incident
- Shift started
- 9:52:00.000
- Submitted
- 29FEB24:21:19:00
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.