MAPLE GROVE, MN —
OSHA Injury Report: 0648 - MAPLE GROVE MN
Injury · Days away from work
At a glance
On , an injury at 0648 - MAPLE GROVE MN in MAPLE GROVE, MN 94063 resulted in days away from work. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 0648 - MAPLE GROVE MN
- Parent company
- Costco Wholesale
- Street
- 11330 FOUNTAINS DRIVE NORTH
- City
- MAPLE GROVE
- State
- MN
- ZIP
- 94063
- On-site location
- INSIDE UNCLASSIFIED
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 104
- Days restricted or transferred
- 83
Before the incident
bringing ice to liquor area
What happened
Bringing a full pallet of ice from the freezer to liquor with pallet [REDACTED] knee buckled
Injury or illness
Strain Sprain Knee Right Side
Object or substance involved
Pallet
Summary line
Strain Sprain Knee Right Side Pulling Pallet
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 392
- Total hours worked
- 547374
- EIN
- 911223280
- Establishment ID
- 1217193
- Employer case #
- WC413F4820
When (timing detail)
- Date of incident
- Shift started
- 4:30:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 04MAR24:19:36:00
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.