State profile · OSHA ITA
Missouri workplace safety
How 10,075 OSHA-reporting employers across Missouri compare on workplace injuries, 2016–2024.
- 10,075
- Employers
- 5.1
- Avg TCR
- 180,819
- Injuries
- 121
- Fatalities
The state picture
Missouri's reporting employers average 5.1 recordable injuries per 100 workers, 1.9 times the ~2.7 all-industry private-sector norm.
- 5.1
- avg TCR · per 100 workers
- 10,075
- employers reporting
- 180,819
- recordable injuries
- 121
- worker fatalities
State average reflects each state's industry mix. Sort the table below by each employer's own grade against its industry benchmark.
22% of Missouri's reporting establishments earn an F and 16% an A, each measured against its own industry benchmark, not the state line. These grades are a transparent derived index, not an official OSHA rating; see the Methodology for the exact formula.
Where Missouri ranks among states
54 states & territories by avg TCRMissouri's average TCR of 5.1 is lower than 64% of states, a state average reflects industry mix as much as workplace safety.
How Missouri Workplaces Compare
Missouri hosts 10,075 employer establishments currently reporting to OSHA's Injury Tracking Application. These are not small shops: federal rules require ITA submission from workplaces with 250+ employees in any industry, plus workplaces with 20+ employees in the roughly 60 NAICS codes classified as high-hazard (construction, manufacturing, healthcare, warehousing, agriculture, and others). Across this Missouri cohort, workers have logged 180,819 recordable injuries, producing a state average Total Case Rate (TCR) of 5.1 injuries per 100 full-time workers per year during 2016–2024.
The state has recorded 121 workplace fatalities in the reporting window, which is tracked separately from non-fatal injury counts because fatal events have their own investigation trail under 29 CFR 1904.39. Reading state-level TCR requires context: the headline figure is driven by a state's industry mix. A state with a heavy construction, logging, or meatpacking footprint will mechanically post higher TCR than a state dominated by finance or professional services, even when individual employers are equally well-managed. That is why the employer table below sorts each establishment by its own TCR and letter grade, against the BLS benchmark for its specific industry, not against the state average.
For jobseekers, relocators, investors, and local safety professionals, state-level pages function as an entry point: use the grade-sorted list to spot the safest and highest-risk employers in Missouri, then click through to an individual establishment for its year-by-year injury, illness, DART, and fatality trajectory. Compare multiple years before drawing conclusions, a single outlier year can reflect a specific event, whereas a sustained pattern across reporting cycles is a more reliable risk signal. All data comes directly from employer-submitted OSHA Form 300A summaries. State OSHA plans in 22 states operate their own enforcement programs in parallel, but the injury data above is harmonized through the federal ITA system.
Employers in Missouri, by injury rate
Page 1 of 201| Employer | City | Industry | Grade | Avg TCR |
|---|---|---|---|---|
| Change Academy at Lake of the Ozark | Lake Ozark | Mental health facilities, re | F | 30.0 |
| 287083-Saint Ann Po | Saint Ann | Mail and Parcel Delivery | F | 29.9 |
| Primrose Retirement Community of Jefferson City | Jefferson City | Continuing Care Retirement C | F | 29.9 |
| Universal Galvanizing | Wright City | Aluminum coating of metal pr | F | 29.8 |
| IP Focus Logistics and Services LLC | Ashland | Local letter and parcel deli | F | 29.7 |
| 287202-Stl-University City Br | St Louis | Mail and Parcel Delivery | F | 28.8 |
| The Aviary Recovery Center | Eolia | Outpatient treatment centers | F | 28.6 |
| 6458-ZSTL | St. Louis | Local Messengers and Local D | F | 28.5 |
| 287195-Stl-North County Br | Saint Louis | Mail and Parcel Delivery | F | 28.5 |
| KC Hide INC | Kansas City | Bag leather manufacturing | F | 28.0 |
| 0093 - Springfield, Mo | Springfield | Retail Stores | F | 27.9 |
| 287189-Stl-Jennings Br | St Louis | Mail and Parcel Delivery | F | 27.9 |
| 287185-Stl-Ferguson Br | Saint Louis | Mail and Parcel Delivery | F | 27.9 |
| Expedition Acres, LLC. | Canton | Hog and pig (including breed | F | 27.0 |
| 284236-Kcm-Parkway Sta | Kansas City | Mail and Parcel Delivery | F | 27.0 |
| Maryland Heights_1435038 | Maryland Heights | Mail and Parcel Delivery | F | 26.8 |
| STL - Provisioning | St Louis | Transportation | F | 26.4 |
| ABC Supply Co Inc, 068 Farmington, MO | Farmington | Roofing, Siding, and Insulat | F | 26.2 |
| NORMANDY_1435047 | Saint Louis | Mail and Parcel Delivery | F | 25.8 |
| Bethesda Meadow | Ballwin | Skilled nursing facilities | F | 25.5 |
| TRI-L Manufacturing, Inc | Ozark | Tractors and attachments, fa | F | 25.5 |
| B & M Manufacturing | Camdenton | Boat transporter trailers, s | F | 25.5 |
| James Crews_1368243 | Kansas City | Mail and Parcel Delivery | F | 25.4 |
| Campbell Healthcare & Senior Living | Campbell | Nursing homes | F | 25.3 |
| Ola 26 | Kansas City | - | F | 25.3 |
| Pleasant Hill Health and Rehabilitation | Pleasant Hill | Skilled nursing facilities | F | 25.2 |
| Marshfield Care Center | Marshfield | Skilled nursing facilities | F | 25.1 |
| St. Elizabeth Care Center | St Elizabeth | Nursing homes | F | 25.0 |
| B&D Fabrication | Joplin | Fabricated structural metal | F | 25.0 |
| Alpine Litho-Graphics | Kansas City | Printing, digital (e.g., bil | F | 25.0 |
| 304 ABC Supply Co., Inc | North Kansas City | Wholesale Building Materials | F | 24.7 |
| 4021-000000741 | Jennings | Food Services | F | 24.6 |
| Hallmark Distribution Center Carefree 975 | Independence | Warehousing and storage, gen | F | 24.5 |
| Marian Oldham_1371827 | Saint Louis | Mail and Parcel Delivery | F | 24.5 |
| 1855-AHSCM30 | St Louis | Nursing Care Facilities (Ski | F | 24.5 |
| Mizou Group Sales | Columbia | - | F | 24.4 |
| 306 Ofa1000 | O'Fallon | General Warehousing and Stor | F | 24.0 |
| Thrift World Kansas City | Independence | Second-hand merchandise stor | F | 24.0 |
| Carthage Health and Rehabilitation | Carthage | Nursing homes | F | 23.9 |
| idX Corporation | Earth City | Architectural woodwork and f | F | 23.8 |
| St. Joseph Nursing and Rehab | Jefferson City | Nursing homes | F | 23.8 |
| Winchester Nursing Center | Bernie | Skilled nursing facilities | F | 23.8 |
| 01589 Store 01589 | Kirksville | All Other General Merchandis | F | 23.7 |
| Your Express Solutions | Kansas City | Local letter and parcel deli | F | 23.6 |
| 10735 E. Hwy 40,LLC | Independence | Amusement parks (e.g., theme | F | 23.6 |
| Bksr Logistics LLC | Riverside | Local letter and parcel deli | F | 23.6 |
| Focus on Residential Services | St. Louis | Group homes for the disabled | F | 23.5 |
| Lucky Trading | Saint Louis | Seafood, canned, merchant wh | F | 23.4 |
| Porite Jefferson Corporation | Jefferson City | Powder metallurgy products m | F | 23.3 |
| GreeneCo NC Ops, Inc. dba The Maples Health and Rehabilitation | Springfield | Skilled nursing facilities | F | 23.2 |
Read our methodology - how this data is sourced, computed, and verified.
Related
What Missouri's safety record means for you
Missouri averages a TCR of 5.1 - about 1.9× the ~2.7 national private-sector norm. A state average hides wide employer-by-employer variation.
- Look up a specific Missouri employer rather than relying on the state average. Look up an employer
- Compare this state against the rest of the country. All states
- Understand what the average TCR actually measures before you read it. Understand the rates
State averages use the credible-subset mean across reporting establishments; they are statistical summaries, not regulatory assessments.
Every figure and grade on PlainSafetyScore is computed directly from OSHA's published Injury Tracking Application data and BLS industry benchmarks, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these safety grades, or report a data error. Data current as of 2016-2024 OSHA ITA release.