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 mAINTENANCE ASST 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
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
- Days restricted or transferred
- 13
Before the incident
Cutting up scrap metal
What happened
EE was cutting metal and a piece fell on right foot injuring his second toe
Injury or illness
Bruise or Contusion Toe s Right Side
Object or substance involved
Rack
Summary line
Bruise or Contusion Toe s Right Side Caught Under Rack
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
- 392
- Total hours worked
- 547374
- EIN
- 911223280
- Establishment ID
- 1217193
- Employer case #
- WC413F4004
When (timing detail)
- Date of incident
- Shift started
- 4:15:00.000
- Time of incident
- 12:30:00.000
- 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.