LAKE ZURICH, IL —
OSHA Injury Report: 0378 LAKE ZURICH IL WHSE
Injury · Other recordable case
At a glance
On , an injury at 0378 LAKE ZURICH IL WHSE in LAKE ZURICH, IL 60047 resulted in other recordable case. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 0378 LAKE ZURICH IL WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 680 S RAND ROAD
- City
- LAKE ZURICH
- State
- IL
- ZIP
- 60047
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stocking
What happened
while pulling a pallet of milk the handle of the jack swung up and broke 3 teth
Injury or illness
Dental Teeth
Object or substance involved
Pallet Jack Manual
Summary line
Dental Teeth Struck by a Moving Object Pallet Jack Manual
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 282
- Total hours worked
- 401135
- EIN
- 911223280
- Establishment ID
- 1378473
- Employer case #
- WC413G473
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 6:25
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.