LAKE ZURICH, IL —
OSHA Injury Report: 0378 LAKE ZURICH IL WHSE
Injury · Other recordable case
At a glance
On , an injury at 0378 LAKE ZURICH IL WHSE in 680 S RAND ROAD, LAKE ZURICH, IL 60047 resulted in other recordable case. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 0378 LAKE ZURICH IL WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 680 S RAND ROAD
- City
- LAKE ZURICH
- State
- IL
- ZIP
- 60047
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stocking
What happened
while pulling a pallet of milk the handle of the jack swung up and broke 3 teth
Injury or illness
Dental Teeth
Object or substance involved
Pallet Jack Manual
Summary line
Dental Teeth Struck by a Moving Object Pallet Jack Manual
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 282
- Total hours worked
- 401135
- EIN
- 911223280
- Establishment ID
- 1378473
- Employer case #
- WC413G473
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 6:25
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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0378 LAKE ZURICH IL WHSE
LAKE ZURICH, IL—
0378 LAKE ZURICH IL WHSE
LAKE ZURICH, IL—
0378 LAKE ZURICH IL WHSE
View 0378 LAKE ZURICH IL WHSE's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.