Eagan, MN —
OSHA Injury Report: 1363 EAGAN MN WHSE
Injury · Other recordable case
At a glance
On , an injury at 1363 EAGAN MN WHSE in 995 Blue Gentian Road, Eagan, MN 55121 resulted in other recordable case. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1363 EAGAN MN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 995 Blue Gentian Road
- City
- Eagan
- State
- MN
- ZIP
- 55121
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
loading skewer into power soaker
What happened
Was putting chicken skewers into the power soaker and the door closed on my arm
Injury or illness
Bruise or Contusion Forearms Right Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Bruise or Contusion Forearms Right Side Caught In or Between Deli Rotisserie Skewer
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 325
- Total hours worked
- 475265
- EIN
- 911223280
- Establishment ID
- 1378883
- Employer case #
- WC413M083
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 18:36
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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Eagan, MN—
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Eagan, MN—
1363 EAGAN MN WHSE
Eagan, MN—
1363 EAGAN MN WHSE
View 1363 EAGAN MN 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.