LAKE IN THE HILLS, IL —
OSHA Injury Report: 0774 - LAKE IN THE HILLS IL
Injury · Other recordable case
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 other recordable case. Employee was mEMBER 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 AND SUNDRY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Putting away items
What happened
EE was pushing a shopping cart to put items away
Injury or illness
Strain Sprain Knee Right Side
Object or substance involved
Cart
Summary line
Strain Sprain Knee Right Side Pushing Cart
Employee and industry
- Job description
- MEMBER 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 #
- WC413F7530
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 04MAR24:19:39:00
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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.