Loves Park, IL ·
OSHA Injury Report: 1353 LOVES PARK IL WHSE
Injury · Other recordable case
At a glance
On , an injury at 1353 LOVES PARK IL WHSE in 5000 Stadium Drive, Loves Park, IL 61111 resulted in other recordable case. Employee was tire installer in wholesale Grocer.
Where did this happen?
- Establishment
- 1353 LOVES PARK IL WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5000 Stadium Drive
- City
- Loves Park
- State
- IL
- ZIP
- 61111
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
dismoutning tire
What happened
[REDACTED] was working on dismounting a tire the tire iron slipped and smacked [REDACTED] in the left cheek causing bleeding
Injury or illness
Unknown Mouth
Object or substance involved
Tool Equipment Unclassified
Summary line
Unknown Mouth Work Place Environment Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 9999: Uncoded
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 256
- Hours worked at this establishment (2024 total)
- 379,935
- EIN
- 911223280
- Establishment ID
- 1378878
- Employer case #
- WC413F7178
When (timing detail)
- Date of incident
- Shift started
- 10:45
- Time of incident
- 10:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 1353 Loves Park IL Whse
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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