Eagan, MN ·
OSHA Injury Report: 1363 EAGAN MN WHSE
Injury · Other recordable case
At a glance
On , an injury at 1363 EAGAN MN WHSE in 995 Blue Gentian Road, Eagan, MN 55121 resulted in other recordable case. Employee was forklift driver in wholesale Grocer.
Where did this happen?
- Establishment
- 1363 EAGAN MN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 995 Blue Gentian Road
- City
- Eagan
- State
- MN
- ZIP
- 55121
- On-site location
- Before Hours Employee Entrance
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking
What happened
walking into building it was pouring rain when I hit the breakroom floor it was wet and I fell
Injury or illness
Strain Sprain Leg Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Leg Left Side Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 325
- Hours worked at this establishment (2025 total)
- 475,265
- EIN
- 911223280
- Establishment ID
- 1378883
- Employer case #
- M13632504
When (timing detail)
- Date of incident
- Time of incident
- 04:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
More injuries at 1363 Eagan MN Whse
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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