MAPLE GROVE, MN —
OSHA Injury Report: 0648 MAPLE GROVE MN WHSE
Injury · Days away from work
At a glance
On , an injury at 0648 MAPLE GROVE MN WHSE in MAPLE GROVE, MN 55369 resulted in days away from work. Employee was sERVICE DELI CLERK 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 8
Before the incident
walking
What happened
walked through deli doors then slipped on floor and fell to ground leg got tangled in machine
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Lower Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 423
- Total hours worked
- 600014
- EIN
- 911223280
- Establishment ID
- 1378578
- Employer case #
- WC413G514
When (timing detail)
- Date of incident
- Shift started
- 11:30
- Time of incident
- 12:20
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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.