Maple Grove, MN —
OSHA Injury Report: 10490 Maple Grove
Injury · Other recordable case
At a glance
On , an injury at 10490 Maple Grove in Maple Grove, MN 55369 resulted in other recordable case. Employee was s Prepared Foods Team Leader.
Where did this happen?
- Establishment
- 10490 Maple Grove
- Street
- 12201 Elm Creek Boulevard
- City
- Maple Grove
- State
- MN
- ZIP
- 55369
- On-site location
- Offsite
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working in retail store.
What happened
Vehicle
Injury or illness
Concussion
Object or substance involved
Vehicle
Summary line
[REDACTED] drove to another storeHennepin to pick up packaging on the way back and was hit while in car by another car.
Employee and industry
- Job description
- S Prepared Foods Team Leader
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110
- NAICS vintage
- 2012
- Avg employees
- 132
- Total hours worked
- 200132
- EIN
- 521711175
- Establishment ID
- 715533
- Employer case #
- 000577237
When (timing detail)
- Date of incident
- Shift started
- 8:12
- Time of incident
- 13:30
- Filing year
- 2025
- Submitted
- 27FEB26:23:26:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.