MAPLE GROVE, MN —
OSHA Injury Report: 0648 - MAPLE GROVE MN
Injury · Job transfer or restriction
At a glance
On , an injury at 0648 - MAPLE GROVE MN in 11330 FOUNTAINS DRIVE NORTH, MAPLE GROVE, MN 94063 resulted in job transfer or restriction. 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
- Loading Dock Outside
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
carrying a storage cabinet to throw
What happened
Carrying a storage cabinet to throw it away
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Back Lower Right Side Lifting Tool Equipment Unclassified
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 #
- WC413F4097
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 13:45:00.000
- 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.