Burnsville, MN —
OSHA Injury Report: 1087 BURNSVILLE MN WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1087 BURNSVILLE MN WHSE in Burnsville, MN 55337 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1087 BURNSVILLE MN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 14050 Burnhaven Dr.
- City
- Burnsville
- State
- MN
- ZIP
- 55337
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
trying to put skewer up in oven
What happened
Trying to put heavy skewer up in over felt shoulder joint pop out and hanging forward
Injury or illness
Dislocation Shoulder Left Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Dislocation Shoulder Left Side Lifting Deli Rotisserie Skewer
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
- 355
- Total hours worked
- 521029
- EIN
- 911223280
- Establishment ID
- 1378744
- Employer case #
- WC413G557
When (timing detail)
- Date of incident
- Time of incident
- 12:40
- 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.