Maple Grove, MN ·
OSHA Injury Report: XMS1
Injury · Days away from work
At a glance
On , an injury at XMS1 in 10001 89th Avenue, Maple Grove, MN 55396 resulted in days away from work. Employee was forklift Driver in general warehousing and storage.
Where did this happen?
- Establishment
- XMS1
- Parent company
- Ponce Ground Service LLC
- Street
- 10001 89th Avenue
- City
- Maple Grove
- State
- MN
- ZIP
- 55396
- On-site location
- on dock
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 115
Before the incident
Employee was walking on the dock after placing a securement device in a docked trailer
What happened
As employee was walking on dock another forklift driver who had tall freight on his forks bumped the employee knocking him down
Injury or illness
complaints of pain to head and back
Object or substance involved
Contact with a moving forklift as well as contact with the ground.
Summary line
head and back pain do to contact with moving lift
Employee and industry
- Job description
- Forklift Driver
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- NAICS code
- 493110: General warehousing and storage
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 14
- Hours worked at this establishment (2024 total)
- 24,567
- EIN
- 800829943
- Establishment ID
- 1190151
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 20:00
- Time of incident
- 21:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-19
More injuries at XMS1
View XMS1's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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