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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Burnsville, MN —

OSHA Injury Report: 1087 - BURNSVILLE MN

Injury · Other recordable case

At a glance

On , an injury at 1087 - BURNSVILLE MN in 14050 Burnhaven Dr., Burnsville, MN 22901 resulted in other recordable case. Employee was mAINTENANCE ASST in wholesale Grocer.

Where did this happen?

Establishment
1087 - BURNSVILLE MN
Parent company
Costco Wholesale
Street
14050 Burnhaven Dr.
City
Burnsville
State
MN
ZIP
22901
On-site location
OUTSIDE PARKING LOT

What was the outcome?

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

Before the incident

coming into work was intoxicated according to first responders

What happened

He fell and hit his head on the asphalt blood out of nose and mouth Ambulance transport tested heavily intoxicated

Injury or illness

Inflammation swelling Head

Object or substance involved

Floor Walking Surface

Summary line

Inflammation swelling Head Walking Floor Walking Surface

Employee and industry

Job description
MAINTENANCE ASST
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
323
Total hours worked
474596
EIN
911223280
Establishment ID
1217892
Employer case #
WC413F4686

When (timing detail)

Date of incident
Time of incident
12:20:00.000
Filing year
2023
Submitted
04MAR24:19:25:00

More injuries at 1087 - BURNSVILLE MN

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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.