Maple Grove, MN —
OSHA Injury Report: NA Maple Grove
Injury · Other recordable case
At a glance
On , an injury at NA Maple Grove in 8401 Jefferson Hwy, Maple Grove, MN 55369 resulted in other recordable case. Employee was operator in r&D Physical, Engineering, Life Sciences.
Where did this happen?
- Establishment
- NA Maple Grove
- Parent company
- H.B. Fuller
- Street
- 8401 Jefferson Hwy
- City
- Maple Grove
- State
- MN
- ZIP
- 55369
- On-site location
- 30mm Compounding Line
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Bruised elbow hip and back with minor back strain
What happened
Bruised elbow hip and back with minor back strain
Injury or illness
Strain Back Lower Trunk
Object or substance involved
Wax build up on floor causing slippery surface
Summary line
Strain Back Lower Trunk Wax build up on floor causing slippery surface Falls same level
Employee and industry
- Job description
- Operator
- SOC code
- 2666211 — Managers, All Other
- NAICS code
- 541712 — R&D Physical, Engineering, Life Sciences
- NAICS vintage
- 2012
- Avg employees
- 35
- Total hours worked
- 66843
- EIN
- 410268370
- Establishment ID
- 1476827
- Employer case #
- 8
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 11:15
- Filing year
- 2025
- Submitted
- 18FEB26:18:26:00
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.