Loves Park, IL ·
OSHA Injury Report: 1353 - LOVES PARK IL
Injury · Other recordable case
At a glance
On , an injury at 1353 - LOVES PARK IL in 5000 Stadium Drive, Loves Park, IL 91761 resulted in other recordable case. Employee was stocker in wholesale Grocer.
Where did this happen?
- Establishment
- 1353 - LOVES PARK IL
- Parent company
- Costco Wholesale
- Street
- 5000 Stadium Drive
- City
- Loves Park
- State
- IL
- ZIP
- 91761
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stepping back
What happened
Employee stepped back and tripped over her own pallet jacket
Injury or illness
Bruise or Contusion Back Lower
Object or substance involved
Pallet Jack Manual
Summary line
Bruise or Contusion Back Lower Caught by Fixed 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
- Employees at this establishment (2023 average)
- 250
- Hours worked at this establishment (2023 total)
- 368,960
- EIN
- 911223280
- Establishment ID
- 1217273
- Employer case #
- WC413F4003
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 09:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1353 - Loves Park IL
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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