EDEN PRAIRIE, MN —
OSHA Injury Report: 0783 - EDEN PRAIRIE MN
Injury · Days away from work
At a glance
On , an injury at 0783 - EDEN PRAIRIE MN in EDEN PRAIRIE, MN 33411 resulted in days away from work. Employee was hA ATTD NL in wholesale Grocer.
Where did this happen?
- Establishment
- 0783 - EDEN PRAIRIE MN
- Parent company
- Costco Wholesale
- Street
- 12011 TECHNOLOGY DRIVE
- City
- EDEN PRAIRIE
- State
- MN
- ZIP
- 33411
- On-site location
- Restroom hall
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 73
Before the incident
Walking
What happened
Walking to restroom tripped on someone s foot and fell on right side of body
Injury or illness
Bruise or Contusion Shoulder
Object or substance involved
Member
Summary line
Bruise or Contusion Shoulder Right Side Struck by a Moving Object Member
Employee and industry
- Job description
- HA ATTD NL
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 387
- Total hours worked
- 539932
- EIN
- 911223280
- Establishment ID
- 1217776
- Employer case #
- WC413F2330
When (timing detail)
- Date of incident
- Time of incident
- 20:20:00.000
- Submitted
- 04MAR24:19:39:00
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.