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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 1363 - EAGAN MN

Injury · Days away from work

On , an injury at 1363 - EAGAN MN in Eagan, MN 95691 resulted in days away from work. Employee was tIRE INSTALLER in wholesale Grocer.

Establishment
1363 - EAGAN MN
Parent company
Costco Wholesale
Street
995 Blue Gentian Road
City
Eagan
State
MN
ZIP
95691
On-site location
TIRE SHOP
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
205

tire

Torn muscle

Strain Sprain Arm Left Side

Tire

Strain Sprain Arm Left Side Lifting Tire

Job description
TIRE INSTALLER
SOC code
49-3093 — Tire Repairers and Changers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
304
Total hours worked
427680
EIN
911223280
Establishment ID
1217133
Employer case #
WC413F4462
Date of incident
Shift started
15:30:00.000
Time of incident
16:15:00.000
Submitted
04MAR24:19:28:00

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.