Eagan, MN —
OSHA Injury Report: 1363 EAGAN MN WHSE
Injury · Days away from work
At a glance
On , an injury at 1363 EAGAN MN WHSE in Eagan, MN 55121 resulted in days away from work. Employee was mAINTENANCE ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 1363 EAGAN MN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 995 Blue Gentian Road
- City
- Eagan
- State
- MN
- ZIP
- 55121
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 5
Before the incident
walking back wards
What happened
walking backwards and trepped over pallet jacks behind him scrape on forearm
Injury or illness
Abrasion irritation Arm Right Side
Object or substance involved
Floor Walking Surface
Summary line
Abrasion irritation Arm Right Side Fall from Same Level Floor Walking Surface
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
- 316
- Total hours worked
- 450672
- EIN
- 911223280
- Establishment ID
- 1378883
- Employer case #
- WC413G4295
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 9:45
- Filing year
- 2024
- Submitted
- 28FEB2025:21:44:00
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.