MT PROSPECT, IL —
OSHA Injury Report: 0779 MOUNT PROSPECT IL WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0779 MOUNT PROSPECT IL WHSE in MT PROSPECT, IL 60056 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0779 MOUNT PROSPECT IL WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 999 ELMHURST ROAD
- City
- MT PROSPECT
- State
- IL
- ZIP
- 60056
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 37
Before the incident
Using breaker bar
What happened
Used breaker bar to take off wheel lock Felt shoulder pop out manager helped me
Injury or illness
Dislocation Shoulder Left Side
Object or substance involved
Tire Center Torque Wrench
Summary line
Dislocation Shoulder Left Side Pushing Tire Center Torque Wrench
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 271
- Total hours worked
- 394994
- EIN
- 911223280
- Establishment ID
- 1378661
- Employer case #
- WC413G4156
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 13:00
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.