North Riverside, IL —
OSHA Injury Report: 1153 - NORTH RIVERSIDE IL
Injury · Other recordable case
At a glance
On , an injury at 1153 - NORTH RIVERSIDE IL in North Riverside, IL 99701 resulted in other recordable case. Employee was mEAT WRAPPER in wholesale Grocer.
Where did this happen?
- Establishment
- 1153 - NORTH RIVERSIDE IL
- Parent company
- Costco Wholesale
- Street
- 2500 South Harlem Ave
- City
- North Riverside
- State
- IL
- ZIP
- 99701
- On-site location
- bay 3 tire shop
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
removing wheels from vehicle
What happened
Tire bounced up during removal and chipped his tooth
Injury or illness
Fracture Teeth
Object or substance involved
Tire
Summary line
Fracture Teeth Right Side Lifting Tire
Employee and industry
- Job description
- MEAT WRAPPER
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 265
- Total hours worked
- 393933
- EIN
- 911223280
- Establishment ID
- 1217030
- Employer case #
- WC413F2804
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 04MAR24:19:26:00
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.