LAKE ZURICH, IL —
OSHA Injury Report: 0378 - LAKE ZURICH IL
Injury · Job transfer or restriction
At a glance
On , an injury at 0378 - LAKE ZURICH IL in LAKE ZURICH, IL 92879 resulted in job transfer or restriction. Employee was gAS STATION ATTD in wholesale Grocer.
Where did this happen?
- Establishment
- 0378 - LAKE ZURICH IL
- Parent company
- Costco Wholesale
- Street
- 680 S RAND ROAD
- City
- LAKE ZURICH
- State
- IL
- ZIP
- 92879
- On-site location
- GAS STATION
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 84
Before the incident
working
What happened
Doing morning walk ans opening went to check fill sumps pulled sump cap up didn t move
Injury or illness
Strain Sprain Shoulder
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Shoulder Pulling Tool Equipment Unclassified
Employee and industry
- Job description
- GAS STATION ATTD
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 275
- Total hours worked
- 388281
- EIN
- 911223280
- Establishment ID
- 1217215
- Employer case #
- WC413F5036
When (timing detail)
- Date of incident
- Shift started
- 5:30:00.000
- Time of incident
- 6:00:00.000
- Submitted
- 04MAR24:19:33:00
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.