LAKE IN THE HILLS, IL —
OSHA Injury Report: 0774 - LAKE IN THE HILLS IL
Injury · Job transfer or restriction
At a glance
On , an injury at 0774 - LAKE IN THE HILLS IL in LAKE IN THE HILLS, IL 92253 resulted in job transfer or restriction. Employee was mAINTENANCE ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 0774 - LAKE IN THE HILLS IL
- Parent company
- Costco Wholesale
- Street
- 250 N RANDALL RD
- City
- LAKE IN THE HILLS
- State
- IL
- ZIP
- 92253
- On-site location
- MAINTENANCE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
opening boxes in maintenance closet
What happened
Cutting with box knife and accidentally slipped
Injury or illness
Laceration Forearms Left Side
Object or substance involved
Box Cutter
Summary line
Laceration Forearms Left Side Cutting Box Cutter
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 279
- Total hours worked
- 402491
- EIN
- 911223280
- Establishment ID
- 1217240
- Employer case #
- WC413F4322
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 19:30:00.000
- Submitted
- 04MAR24:19:39:00
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.