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 cASHIER 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
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 38
Before the incident
cleaning coffee grinder
What happened
moving coffee grinder and fell into shoulder
Injury or illness
Bruise or Contusion Shoulder Left Side
Object or substance involved
Tray
Summary line
Bruise or Contusion Shoulder Left Side Struck by a falling or flying object Tray
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 279
- Total hours worked
- 402491
- EIN
- 911223280
- Establishment ID
- 1217240
- Employer case #
- WC413F6555
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 22:00:00.000
- 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.