Maple Grove, MN —
OSHA Injury Report: 10490 Maple Grove
Injury · Other recordable case
At a glance
On , an injury at 10490 Maple Grove in Maple Grove, MN 55369 resulted in other recordable case. Employee was s Cook.
Where did this happen?
- Establishment
- 10490 Maple Grove
- Street
- 12201 Elm Creek Boulevard
- City
- Maple Grove
- State
- MN
- ZIP
- 55369
- On-site location
- Prepared Foods Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
working in the kitchen
What happened
Slip Trip Fall Same Level
Injury or illness
Strain Sprain
Object or substance involved
Human Action
Summary line
THE EE WAS IN THE KITCHEN WORKING WHEN THEY TRIPPED OVER THEIRRIGHT FOOT AND FELL TO THE GROUND. THE EE INJURED THEIR LOWER BACK
Employee and industry
- Job description
- S Cook
- SOC code
- 35-2019 — Cooks, All Other
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 124
- Total hours worked
- 184342
- EIN
- 521711175
- Establishment ID
- 715533
- Employer case #
- 0005772036
When (timing detail)
- Date of incident
- Shift started
- 6:20:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 28FEB24:22:30:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.