MAPLE GROVE, MN —
OSHA Injury Report: 0648 MAPLE GROVE MN WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0648 MAPLE GROVE MN WHSE in MAPLE GROVE, MN 55369 resulted in job transfer or restriction. Employee was mAINTENANCE ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 0648 MAPLE GROVE MN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 11330 FOUNTAINS DRIVE NORTH
- City
- MAPLE GROVE
- State
- MN
- ZIP
- 55369
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 41
Before the incident
cleaning the chicken room
What happened
working in the chicken room
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Maintenance Housekeeping
Summary line
Strain Sprain Back Lower Right Side Lifting Maintenance Housekeeping
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
- 408
- Total hours worked
- 573295
- EIN
- 911223280
- Establishment ID
- 1378578
- Employer case #
- WC413G4098
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 9:00
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.