Eagan, MN —
OSHA Injury Report: 1363 - EAGAN MN
Injury · Other recordable case
At a glance
On , an injury at 1363 - EAGAN MN in Eagan, MN 95691 resulted in other recordable case. Employee was sUP HOURLY 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
- RECEIVING
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
grabbing product and lost balance
What happened
grabbing packaging from cart pallet lost balance and fell on back
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Lower Right and Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 304
- Total hours worked
- 427680
- EIN
- 911223280
- Establishment ID
- 1217133
- Employer case #
- WC413F6196
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 7:30:00.000
- Submitted
- 04MAR24:19:28:00
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.