LAKE IN THE HILLS, IL —
OSHA Injury Report: 0774 - LAKE IN THE HILLS IL
Injury · Other recordable case
At a glance
On , an injury at 0774 - LAKE IN THE HILLS IL in LAKE IN THE HILLS, IL 92253 resulted in other recordable case. 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
- WALK IN FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Restacking a pallet
What happened
EE was in the freezer and slipped on the floor
Injury or illness
Strain Sprain Ankle Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Ankle Right Side Fall from Different Level Floor Walking Surface
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 #
- WC413F4713
When (timing detail)
- Date of incident
- Shift started
- 4:15:00.000
- Time of incident
- 10:17:00.000
- 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.