LAKE IN THE HILLS, IL —
OSHA Injury Report: 0774 - LAKE IN THE HILLS IL
Injury · Days away from work
At a glance
On , an injury at 0774 - LAKE IN THE HILLS IL in 250 N RANDALL RD, LAKE IN THE HILLS, IL 92253 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0774 - LAKE IN THE HILLS IL
- Parent company
- Costco Wholesale
- Street
- 250 N RANDALL RD
- City
- LAKE IN THE HILLS
- State
- IL
- ZIP
- 92253
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 11
- Days restricted or transferred
- 69
Before the incident
Cutting pizzas
What happened
EE was cutting pizzas as she cut a pizza her shoulder joint area started hurting and could barely move it
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Pizza Press
Summary line
Strain Sprain Shoulder Right Side Reaching Pizza Press
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 279
- Total hours worked
- 402491
- EIN
- 911223280
- Establishment ID
- 1217240
- Employer case #
- WC413F6420
When (timing detail)
- Date of incident
- Time of incident
- 15:30:00.000
- Submitted
- 04MAR24:19:39:00
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LAKE IN THE HILLS, IL—
0774 - LAKE IN THE HILLS IL
LAKE IN THE HILLS, IL—
0774 - LAKE IN THE HILLS IL
LAKE IN THE HILLS, IL—
0774 - LAKE IN THE HILLS IL
View 0774 - LAKE IN THE HILLS IL's full OSHA safety record →
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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.