ST CHARLES, IL —
OSHA Injury Report: 1040 - ST CHARLES IL
Injury · Days away from work
At a glance
On , an injury at 1040 - ST CHARLES IL in 221 SOUTH RANDALL ROAD, ST CHARLES, IL 70118 resulted in days away from work. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 1040 - ST CHARLES IL
- Parent company
- Costco Wholesale
- Street
- 221 SOUTH RANDALL ROAD
- City
- ST CHARLES
- State
- IL
- ZIP
- 70118
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 84
Before the incident
Walking out of freezer
What happened
EE walked out of the freezer as a forklift was entering and got hit
Injury or illness
Bruise or Contusion Leg Left Side
Object or substance involved
Forklift
Summary line
Bruise or Contusion Leg Left Side Caught In or Between Forklift
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 281
- Total hours worked
- 407255
- EIN
- 911223280
- Establishment ID
- 1217514
- Employer case #
- WC413F6259
When (timing detail)
- Date of incident
- Shift started
- 5:01:00.000
- Time of incident
- 9:02:00.000
- Filing year
- 2023
- Submitted
- 04MAR24:19:24:00
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View 1040 - ST CHARLES IL's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.