Cottage Grove, MN —
OSHA Injury Report: Cottage Grove - Main Store
Injury · Other recordable case
At a glance
On , an injury at Cottage Grove - Main Store in Cottage Grove, MN 55016 resulted in other recordable case. Employee was mia Ilatian Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Cottage Grove - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 7280 E Point Douglas Rd S
- City
- Cottage Grove
- State
- MN
- ZIP
- 55016
- On-site location
- In the parking lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Was walking in the parking lot
What happened
Was walking outside to go to break and fell on the ice
Injury or illness
INJURY TYPE: Concussion || BODY PART(S) AFFECTED: - Head - Soft Tissue
Object or substance involved
Was going on break and fell in the parking lot
Summary line
head back neck contusion from slip and fall in icy parking lot.
Employee and industry
- Job description
- Mia Ilatian Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 272
- Total hours worked
- 328681
- EIN
- 420325638
- Establishment ID
- 1028266
- Employer case #
- 2023-2
When (timing detail)
- Date of incident
- Shift started
- 15:59:00.000
- Time of incident
- 18:19:00.000
- Submitted
- 29FEB24:15:45:00
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.