MAPLE GROVE, MN —
OSHA Injury Report: 0648 - MAPLE GROVE MN
Injury · Job transfer or restriction
At a glance
On , an injury at 0648 - MAPLE GROVE MN in MAPLE GROVE, MN 94063 resulted in job transfer or restriction. Employee was fOOD SERVICE 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
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 60
Before the incident
Cutting Pizzas
What happened
Cutting pizzas and shoulder started hurting Down arm and up neck
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Foreign Body
Summary line
Strain Sprain Shoulder Right Side Hand Tool Foreign Body
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 392
- Total hours worked
- 547374
- EIN
- 911223280
- Establishment ID
- 1217193
- Employer case #
- WC413F6564
When (timing detail)
- Date of incident
- Time of incident
- 18:30:00.000
- 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.