Maple Grove, MN —
OSHA Injury Report: Maple Grove - Main Store
Injury · Days away from work
At a glance
On , an injury at Maple Grove - Main Store in Maple Grove, MN 55311 resulted in days away from work. Employee was dairy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Maple Grove - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 18755 70th Way North
- City
- Maple Grove
- State
- MN
- ZIP
- 55311
- On-site location
- Dairy Cooler
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 13
- Days restricted or transferred
- 13
Before the incident
Employee was bending down to pick up a box of butter (about 30 pounds) and felt and heard a pop in his left elbow followed by pain. Employee tried to continue to work but left about 30 minutes early due to the pain.
What happened
Employee was working in the cooler when the accident happened so we do not have video of the situation. Employee went home and then went to the ER.
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: - Elbow
Object or substance involved
Working the dairy freight
Summary line
Left elbow strain from picking up 30-pound box.
Employee and industry
- Job description
- Dairy Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 267
- Total hours worked
- 293412
- EIN
- 420325638
- Establishment ID
- 1028387
- Employer case #
- 2023-9
When (timing detail)
- Date of incident
- Shift started
- 14:59:00.000
- Time of incident
- 18:05:00.000
- Submitted
- 29FEB24:15:46:00
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.