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.

Missouri grade distribution 10,070 graded establishments · width = share

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 TCR

Missouri's average TCR of 5.1 is lower than 64% of states, a state average reflects industry mix as much as workplace safety.

Higher avg TCRLower avg TCR

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 CityIndustryGradeAvg 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
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Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainSafetyScore Editorial

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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.

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.