Mound, MN ·
OSHA Injury Report: G4CM LLC
Injury · Other recordable case
At a glance
On , an injury at G4CM LLC in 5424 Shoreline Drive, Mound, MN 55364 resulted in other recordable case. Employee was field Superintendent in commercial building construction general contractors.
Where did this happen?
- Establishment
- G4CM LLC
- Parent company
- G4CM LLC
- Street
- 5424 Shoreline Drive
- City
- Mound
- State
- MN
- ZIP
- 55364
- On-site location
- Supervising Dairy Queen jobsite in Tea SD
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Worker was installing some blocking that was missed and was standing on a platform. Worker cut a small piece of plywood to access the area needing the blocking. When removing the plywood it came out easier than anticipated and he fell to the ground and onto his left shoulder.
What happened
Worker was installing some blocking that was missed and was standing on a platform. Worker cut a small piece of plywood to access the area needing the blocking. When removing the plywood it came out easier than anticipated and he fell to the ground and onto his left shoulder.
Injury or illness
Frozen Left Shoulder M75.00
Object or substance involved
The floor ground
Summary line
Frozen Shoulder M75.00
Employee and industry
- Job description
- Field Superintendent
- SOC code
- 11-9021: Construction Managers
- NAICS code
- 236220: Commercial building construction general contractors
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 20
- Hours worked at this establishment (2023 total)
- 37,824
- EIN
- 850883617
- Establishment ID
- 1092664
- Employer case #
- 1
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-30
More injuries in this industry (NAICS 236220)
More injuries in MN
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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