Maple Grove, MN ·
OSHA Injury Report: Maple Grove - Main Store
Injury · Days away from work
At a glance
On , an injury at Maple Grove - Main Store in 18755 70th Way North, Maple Grove, MN 55311 resulted in days away from work. Employee was payStationClerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Maple Grove - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 18755 70th Way North
- City
- Maple Grove
- State
- MN
- ZIP
- 55311
- On-site location
- Market Grille
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 21
Before the incident
Dumping hot water out of the coffee pot tray into the pop machine drain
What happened
employee was dumping the water from the coffee pot tray into the pop machine drain when the water splashed out of the tray on to her arm
Injury or illness
INJURY TYPE: Burn || BODY PARTS AFFECTED: Lower Arm
Object or substance involved
Hot Water
Summary line
Burn on lower right arm from hot water splashing off of a surface while pouring.
Employee and industry
- Job description
- PayStationClerk
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 265
- Hours worked at this establishment (2025 total)
- 329,535
- EIN
- 420325638
- Establishment ID
- 1028387
- Employer case #
- 2025-6
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 06:40
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at Maple Grove - Main Store
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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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