Duluth, MN —
OSHA Injury Report: 1422 - DULUTH MN
Injury · Job transfer or restriction
At a glance
On , an injury at 1422 - DULUTH MN in Duluth, MN 55811 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1422 - DULUTH MN
- Parent company
- Costco Wholesale
- Street
- 4611 W Arrowhead Rd.
- City
- Duluth
- State
- MN
- ZIP
- 55811
- On-site location
- Deli Production room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 54
Before the incident
was cleaning production room
What happened
Stepped into open drain
Injury or illness
Inflammation swelling Knee
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Knee Stepped In On or Off Floor Walking Surface
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
- Avg employees
- 209
- Total hours worked
- 307911
- EIN
- 911223280
- Establishment ID
- 1217604
- Employer case #
- WC413F3100
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 20:00:00.000
- Submitted
- 04MAR24:19:29:00
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.