Bloomington, MN ·
OSHA Injury Report: Bloomington
Injury · Other recordable case
At a glance
On , an injury at Bloomington in 2201 West 94th St, Bloomington, MN 55431 resulted in other recordable case. Employee was DOT delivery driver in forklift trucks (except log) merchant wholesalers.
Where did this happen?
- Establishment
- Bloomington
- Parent company
- Forklfits of Minnesota, Inc.
- Street
- 2201 West 94th St
- City
- Bloomington
- State
- MN
- ZIP
- 55431
- On-site location
- CUSTOMER LOCATION
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
He was loading a forklift onto his truck and he was tightening the chain to hold it in place.
What happened
when he was tightening the chain the tension broke the chain went loose causing him to jerk forward and felt pain in his right shoulder
Injury or illness
right shoulder injury diagnosis pending results of diagnostic study
Object or substance involved
Forklift chain
Summary line
RIGHT SHOULDER
Employee and industry
- Job description
- DOT DELIVERY DRIVER
- SOC code
- 53-3033: Light Truck Drivers
- NAICS code
- 423830: Forklift trucks (except log) merchant wholesalers
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 138
- Hours worked at this establishment (2023 total)
- 287,040
- EIN
- 410734498
- Establishment ID
- 363432
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 06:45
- Time of incident
- 13:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-01
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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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