MANDAN, ND —
OSHA Injury Report: 3130 FAMILY FARE MANDAN
Injury · Days away from work
At a glance
On , an injury at 3130 FAMILY FARE MANDAN in MANDAN, ND 58554 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- 3130 FAMILY FARE MANDAN
- Parent company
- SpartanNash
- Street
- 500 BURLINGTON ST, SE
- City
- MANDAN
- State
- ND
- ZIP
- 58554
- On-site location
- Deli Fry Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 62
- Days restricted or transferred
- 58
Before the incident
Working in Deli Department
What happened
Broken Left shoulder slip trip and fall over empty boxes
Injury or illness
Shoulder s
Object or substance involved
Slip Trip or Fall
Summary line
Broken Left shoulder slip trip and fall over empty boxes
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 57
- Total hours worked
- 69532
- EIN
- 380593940
- Establishment ID
- 1119255
- Employer case #
- WC 2023366
When (timing detail)
- Date of incident
- Submitted
- 01MAR24:23:09:00
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.