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 18755 70th Way North, Maple Grove, MN 55311 resulted in days away from work. Employee was bakery 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
- Bakery Department
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
- Days restricted or transferred
- 180
Before the incident
As the employee was walking with a small bowl in her hand she rolled her left ankle and fell to the ground. Employee was not able to get back up on her own and requested ambulance. Ice was put on the ankle by an employee in the bakery department.
What happened
Employee rolled her left ankle as she was walking in the Bakery Department causing her to fall. employee complained of pain on the outer side of the left ankle. Employee 's son was called because the employee doesn 't speak or understand English. She speaks Hindi and Gujarati. Son 's name is [REDACTED] and his phone number is on this report for contact. Son stated that the injured employee has previously injured the same ankle in [REDACTED] when she slipped at another job and fractured it. he mentioned that the bruising on the inner side of the foot was caused by that injury as well as nerve damage. Employee was not wearing slip resistant shoes.
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: - Ankle
Object or substance involved
Employee was walking with a small bowl in her hand to fill it with glaze.
Summary line
Left tibia and fibula fractures from rolling it on slippery floor.
Employee and industry
- Job description
- Bakery Clerk
- SOC code
- 51-3011: Bakers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 267
- Hours worked at this establishment (2023 total)
- 293,412
- EIN
- 420325638
- Establishment ID
- 1028387
- Employer case #
- 2023-10
When (timing detail)
- Date of incident
- Shift started
- 07:57
- Time of incident
- 14:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Maple Grove - Main Store
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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