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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Maple Grove, MN —

OSHA Injury Report: 10490 Maple Grove

Injury · Other recordable case

At a glance

On , an injury at 10490 Maple Grove in 12201 Elm Creek Boulevard, Maple Grove, MN 55369 resulted in other recordable case. Employee was s Cook.

Where did this happen?

Establishment
10490 Maple Grove
Street
12201 Elm Creek Boulevard
City
Maple Grove
State
MN
ZIP
55369
On-site location
Prepared Foods Kitchen

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

working in the kitchen

What happened

Slip Trip Fall Same Level

Injury or illness

Strain Sprain

Object or substance involved

Human Action

Summary line

THE EE WAS IN THE KITCHEN WORKING WHEN THEY TRIPPED OVER THEIRRIGHT FOOT AND FELL TO THE GROUND. THE EE INJURED THEIR LOWER BACK

Employee and industry

Job description
S Cook
SOC code
35-2019 — Cooks, All Other
NAICS code
445110
NAICS vintage
2022
Avg employees
124
Total hours worked
184342
EIN
521711175
Establishment ID
715533
Employer case #
0005772036

When (timing detail)

Date of incident
Shift started
6:20:00.000
Time of incident
12:00:00.000
Filing year
2023
Submitted
28FEB24:22:30:00

More injuries at 10490 Maple Grove

View 10490 Maple Grove's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.