MAPLE GROVE, MN —
OSHA Injury Report: 0648 MAPLE GROVE MN WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0648 MAPLE GROVE MN WHSE in MAPLE GROVE, MN 55369 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER 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
- RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 58
Before the incident
pushing a pallet of chips
What happened
While trying to slide a pallet of chips off the double stack it got stuck and in the process of lifting messed up
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Pallet
Summary line
Strain Sprain Shoulder Right Side Pushing Pallet
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 423
- Total hours worked
- 600014
- EIN
- 911223280
- Establishment ID
- 1378578
- Employer case #
- WC413M112
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 16:00
- 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.