MAPLEWOOD, MN —
OSHA Injury Report: 1021 MAPLEWOOD MN WHSE
Injury · Other recordable case
At a glance
On , an injury at 1021 MAPLEWOOD MN WHSE in MAPLEWOOD, MN 55109 resulted in other recordable case. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 1021 MAPLEWOOD MN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1431 BEAM AVE
- City
- MAPLEWOOD
- State
- MN
- ZIP
- 55109
- On-site location
- PRODUCE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Lifting
What happened
Felt a pop in arm shoulder
Injury or illness
Strain Sprain Arm Right Side
Object or substance involved
Pallet
Summary line
Strain Sprain Arm Right Side Lifting 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
- 385
- Total hours worked
- 555443
- EIN
- 911223280
- Establishment ID
- 1378704
- Employer case #
- WC413M072
When (timing detail)
- Date of incident
- Shift started
- 3:00
- Time of incident
- 8:35
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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.