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 fORKLIFT DRIVER 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
- HABA
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 97
Before the incident
Driving his forklift
What happened
Driving HABA and a board wasnt wrapped tight enough so it slid [REDACTED] and i tried to push it back felt a pain my back
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower Right and Left Side Pushing Merchandise
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 279
- Total hours worked
- 402491
- EIN
- 911223280
- Establishment ID
- 1217240
- Employer case #
- WC413F6185
When (timing detail)
- Date of incident
- Shift started
- 4:15:00.000
- Time of incident
- 7:30:00.000
- 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.