EDEN PRAIRIE, MN —
OSHA Injury Report: 0783 - EDEN PRAIRIE MN
Injury · Job transfer or restriction
At a glance
On , an injury at 0783 - EDEN PRAIRIE MN in EDEN PRAIRIE, MN 33411 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER 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
- HABA
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
Driving a Forklift
What happened
Drove forklift into support pole hit head on forklift cage
Injury or illness
Concussion Head
Object or substance involved
Forklift
Summary line
Concussion Head Right and Left Side Struck Against a Fixed Object Forklift
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 387
- Total hours worked
- 539932
- EIN
- 911223280
- Establishment ID
- 1217776
- Employer case #
- WC413F4548
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 8:30:00.000
- 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.