Eagan, MN ·
OSHA Injury Report: 1363 - EAGAN MN
Injury · Job transfer or restriction
At a glance
On , an injury at 1363 - EAGAN MN in 995 Blue Gentian Road, Eagan, MN 95691 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 1363 - EAGAN MN
- Parent company
- Costco Wholesale
- Street
- 995 Blue Gentian Road
- City
- Eagan
- State
- MN
- ZIP
- 95691
- On-site location
- Rotisserie Chicken Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 31
Before the incident
Loading chickens in oven
What happened
Lifting a skewer of chickens and felt a pain in my elbow
Injury or illness
Strain Sprain Elbow Left Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Strain Sprain Elbow Left Side Lifting Deli Rotisserie Skewer
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 304
- Hours worked at this establishment (2023 total)
- 427,680
- EIN
- 911223280
- Establishment ID
- 1217133
- Employer case #
- WC413F2413
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 10:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1363 - Eagan MN
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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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