CHICAGO, IL —
OSHA Injury Report: 1107 - CHICAGO SOUTH LOOP IL
Injury · Other recordable case
At a glance
On , an injury at 1107 - CHICAGO SOUTH LOOP IL in CHICAGO, IL 33559 resulted in other recordable case. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 1107 - CHICAGO SOUTH LOOP IL
- Parent company
- Costco Wholesale
- Street
- 1430 S. ASHLAND AVE.
- City
- CHICAGO
- State
- IL
- ZIP
- 33559
- On-site location
- Employee was not working at the time She was on LOA
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Unknown
What happened
Left shoulder injury
Injury or illness
Unknown Shoulder Left Side
Object or substance involved
Medical Condition Idiopathic
Summary line
Unknown Shoulder Left Side Medical Condition Idiopathic Medical Condition Idiopathic
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 275
- Total hours worked
- 397746
- EIN
- 911223280
- Establishment ID
- 1217769
- Employer case #
- WC413F5238
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Submitted
- 04MAR24:19:25:00
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.