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 25 of 201
Employer CityIndustryGradeAvg TCR
BJC Home Care Services - Mason Ridge Saint Louis Home health care agencies D 9.0
XTRA Lease LLC Saint Louis Semi-trailer rental or leasi F 9.0
New Horizons PACE St. Louis Day care centers, adult F 9.0
Villa Marie Jefferson City Skilled nursing facilities D 9.0
Advanced Disposal - Macon MO Hauling Macon - F 9.0
Adams Street-A StoneBridge Community Jefferson City Nursing homes D 9.0
Mansfield Faclility Mansfield Truck trailer manufacturing F 8.9
Rusk Rehabilitation Hospital Columbia Rehabilitation hospitals (ex F 8.9
4186-00695 Florissant Dollar Stores F 8.9
Maple Senior Living of Lamar Lamar Assisted-living facilities w F 8.9
Mid-America Pool Renovation, Inc. Grandview Swimming pool cleaning and m D 8.9
Current River Nursing Center Doniphan Skilled nursing facilities D 8.9
2905 Ofa12 Ellisville Supermarkets and Other Groce F 8.9
American Spotting Company of Florida St. Louis Shunting of trailers in truc D 8.9
Davlan St. Louis Machine shops F 8.9
HES H Ed at SLU Medical St Louis - D 8.9
Missouri General Maintenance-Est Princeton Agricultural machinery and e F 8.9
Hannibal Regional Healthcare System Hannibal - C 8.9
Wm 2955 Kansas City Warehouse Clubs and Supercen F 8.9
Central Bakery Bridgeton Grocery stores F 8.9
Anglers Lodge Hollister Hollister Hotels (except casino hotels F 8.9
Qualico Precision Products LLC Moberly Brake and brake parts, autom D 8.9
Peterbilt of Raleigh Strafford Automobile dealers, new only F 8.9
Nkc Ari North Kansas City Locomotive and rail car repa D 8.9
All Seasons Comfort Systems, LLC Reeds Spring Air system balancing and tes F 8.9
Berkeley DC Fresh Berkeley Bonded warehousing, refriger D 8.9
Shangri-La Blue Springs Nursing Care Facilities D 8.9
281242-Camdenton Po Camdenton Mail and Parcel Delivery D 8.9
Sodexo at Aurora R-Viii Sd Aurora Facilities Support Services F 8.9
South County Surgical Center Saint Louis Ambulatory surgical centers F 8.9
052 TA Oak Grove Oak Grove Truck stops F 8.9
Wilbert Funeral Services Grandview Grandview Precast concrete products (e F 8.9
Marshfield Care Center for Rehab and Healthcare Marshfield Skilled nursing facilities D 8.9
The Home City Ice Company - Pacific - 440 Pacific Ice, dry, manufacturing F 8.9
Union Center (Mounn) Union Courier Services Except by A D 8.9
Quaker Window Co. - Wood Facility Vienna Wood Window and Door Manufac F 8.9
Country Mart # 71 Branson Grocery stores F 8.9
Autumn View Gardens of Ellisville Ellisvillle Assisted-living facilities w F 8.9
8449_19372 Kansas City - F 8.9
St Louis MO 064 Fenton - D 8.9
Wm 30 Dexter Warehouse Clubs and Supercen F 8.9
2807-0731 Chesterfield Homecenter F 8.9
287199-Stl-Sappington Br Saint Louis Mail and Parcel Delivery D 8.9
4186-06239 Florissant Dollar Stores F 8.9
547 Springfield Strafford Freight Trucking LTL D 8.9
US Tool Group - Farmington Farmington Magnetic forming machines, m F 8.8
The Bungalows at Nevada Nevada Assisted-living facilities w F 8.8
Wm 4590 Lees Summit Warehouse Clubs and Supercen F 8.8
RRSC St. Louis Market St. Charles Sewer & Drain Cleaning F 8.8
Manchester Packaging Company St. James Flexible packaging, plastics F 8.8
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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.