Burnsville, MN —
OSHA Injury Report: 1087 - BURNSVILLE MN
Injury · Other recordable case
At a glance
On , an injury at 1087 - BURNSVILLE MN in Burnsville, MN 22901 resulted in other recordable case. Employee was mAINTENANCE ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 1087 - BURNSVILLE MN
- Parent company
- Costco Wholesale
- Street
- 14050 Burnhaven Dr.
- City
- Burnsville
- State
- MN
- ZIP
- 22901
- On-site location
- OUTSIDE PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
coming into work was intoxicated according to first responders
What happened
He fell and hit his head on the asphalt blood out of nose and mouth Ambulance transport tested heavily intoxicated
Injury or illness
Inflammation swelling Head
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Head Walking Floor Walking Surface
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 323
- Total hours worked
- 474596
- EIN
- 911223280
- Establishment ID
- 1217892
- Employer case #
- WC413F4686
When (timing detail)
- Date of incident
- Time of incident
- 12:20:00.000
- Submitted
- 04MAR24:19:25:00
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.