MAPLE GROVE, MN ·
OSHA Injury Report: 1733 PARK NICOLLET CLINIC MAPLE GROVE 9555
Injury · Other recordable case
At a glance
On , an injury at 1733 PARK NICOLLET CLINIC MAPLE GROVE 9555 in 9555 UPLAND AVE NO, MAPLE GROVE, MN 55369 resulted in other recordable case. Employee was CMA in offices of Physicians (except Mental Health Specialists).
Where did this happen?
- Establishment
- 1733 PARK NICOLLET CLINIC MAPLE GROVE 9555
- Parent company
- HealthPartners, Inc. PARK NICOLLET CLINIC MAPLE GROVE 9555
- Street
- 9555 UPLAND AVE NO
- City
- MAPLE GROVE
- State
- MN
- ZIP
- 55369
- On-site location
- BLUE HALLWAY PATIENT ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
ADMINITERING VACCINE
What happened
when administering needle pricked left index after pulling needle went to wash hands immediately updated supervisor they said call and file report job will administer testing
Injury or illness
Puncture Left Finger s Needle stick Dirty needle
Object or substance involved
Dirty needle
Summary line
when administering needle pricked left index after pulling needle went to wash hands immediate
Employee and industry
- Job description
- CMA
- SOC code
- 31-9092: Medical Assistants
- NAICS code
- 621111: Offices of Physicians (except Mental Health Specialists)
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 247
- Hours worked at this establishment (2025 total)
- 418,232
- EIN
- 411693838
- Establishment ID
- 1466402
- Employer case #
- 4070
When (timing detail)
- Date of incident
- Shift started
- 07:30
- Time of incident
- 08:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-10
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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