WEST FARGO, ND —
OSHA Injury Report: 1119 WEST FARGO ND WHSE
Injury · Other recordable case
At a glance
On , an injury at 1119 WEST FARGO ND WHSE in 750 23RD AVE E, WEST FARGO, ND 58078 resulted in other recordable case. Employee was cAKE DECORATOR in wholesale Grocer.
Where did this happen?
- Establishment
- 1119 WEST FARGO ND WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 750 23RD AVE E
- City
- WEST FARGO
- State
- ND
- ZIP
- 58078
- On-site location
- Breakroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking
What happened
slipped and fell on a grape in the breakroon
Injury or illness
Inflammation swelling Knee Left Side
Object or substance involved
Maintenance Housekeeping
Summary line
Inflammation swelling Knee Left Side Fall from Same Level Maintenance Housekeeping
Employee and industry
- Job description
- CAKE DECORATOR
- SOC code
- 51-3092 — Food Batchmakers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 306
- Total hours worked
- 448243
- EIN
- 911223280
- Establishment ID
- 1378764
- Employer case #
- M11192503
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 11:30
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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1119 WEST FARGO ND WHSE
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1119 WEST FARGO ND WHSE
WEST FARGO, ND—
1119 WEST FARGO ND WHSE
View 1119 WEST FARGO ND WHSE's full OSHA safety record →
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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.