MAPLE GROVE, MN —
OSHA Injury Report: 0648 - MAPLE GROVE MN
Injury · Days away from work
At a glance
On , an injury at 0648 - MAPLE GROVE MN in 11330 FOUNTAINS DRIVE NORTH, MAPLE GROVE, MN 94063 resulted in days away from work. Employee was cASHIER in wholesale Grocer.
Where did this happen?
- Establishment
- 0648 - MAPLE GROVE MN
- Parent company
- Costco Wholesale
- Street
- 11330 FOUNTAINS DRIVE NORTH
- City
- MAPLE GROVE
- State
- MN
- ZIP
- 94063
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 30
- Days restricted or transferred
- 31
Before the incident
self check out
What happened
lifting potting soil at self check out and felt pain in lower back
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower Lifting Merchandise
Employee and industry
- Job description
- CASHIER
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 392
- Total hours worked
- 547374
- EIN
- 911223280
- Establishment ID
- 1217193
- Employer case #
- WC413F4217
When (timing detail)
- Date of incident
- Shift started
- 11:01:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 04MAR24:19:36:00
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View 0648 - MAPLE GROVE MN's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.