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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0648 - MAPLE GROVE MN

Injury · Days away from work

On , an injury at 0648 - MAPLE GROVE MN in MAPLE GROVE, MN 94063 resulted in days away from work. Employee was mAINTENANCE ASST in wholesale Grocer.

Establishment
0648 - MAPLE GROVE MN
Parent company
Costco Wholesale
Street
11330 FOUNTAINS DRIVE NORTH
City
MAPLE GROVE
State
MN
ZIP
94063
On-site location
RECEIVING
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
5
Days restricted or transferred
13

Cutting up scrap metal

EE was cutting metal and a piece fell on right foot injuring his second toe

Bruise or Contusion Toe s Right Side

Rack

Bruise or Contusion Toe s Right Side Caught Under Rack

Job description
MAINTENANCE ASST
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
392
Total hours worked
547374
EIN
911223280
Establishment ID
1217193
Employer case #
WC413F4004
Date of incident
Shift started
4:15:00.000
Time of incident
12:30:00.000
Submitted
04MAR24:19:36:00

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.