TCR, interpreted
Far above average
5.1 avg TCR
State profile · OSHA ITA
How 10,075 OSHA-reporting employers across Missouri compare on workplace injuries, 2016–2024. Average TCR uses the 8,824 establishments with a credible rate (see methodology).
TCR, interpreted
Far above average
5.1 avg TCR
Missouri vs all states by OSHA-reporting employer count
Where this state's ITA establishment inventory sits among every tracked state and territory (coverage signal, not a safety ranking)
10,075 19th of 54 higher than 35 of 54 states
States and territories, banded by OSHA ITA reporting employer count
Each bar is a band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source official public datasets · 2026
The state picture
Missouri's 8,824 rated reporting employers average 5.1 recordable injuries per 100 workers, 1.9 times the ~2.7 all-industry private-sector norm.
Inventory counts and injury/fatality totals cover all 10,075 ITA establishments; the average TCR excludes zero-rate and corrupt-hours filings. See Methodology → Three Populations.
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.
Missouri's average TCR of 5.1 is lower than 64% of states, a state average reflects industry mix as much as workplace safety.
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. The published state average Total Case Rate (TCR) of 5.1 injuries per 100 full-time workers uses the 8,824 establishments with a credible rate (zero-rate and corrupt-hours filings stay in the inventory counts above but are excluded from the average, see methodology).
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.
| Employer | City | Industry | Grade | Avg 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 |
| Advanced Disposal - Macon MO Hauling | Macon | - | F | 9.0 |
| Villa Marie | Jefferson City | Skilled nursing facilities | D | 9.0 |
| New Horizons PACE | St. Louis | Day care centers, adult | F | 9.0 |
| Adams Street-A StoneBridge Community | Jefferson City | Nursing homes | D | 9.0 |
| Mansfield Faclility | Mansfield | Truck trailer manufacturing | F | 8.9 |
| 4186-00695 | Florissant | Dollar Stores | F | 8.9 |
| Rusk Rehabilitation Hospital | Columbia | Rehabilitation hospitals (ex | F | 8.9 |
| Maple Senior Living of Lamar | Lamar | Assisted-living facilities w | F | 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 |
| 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 |
| 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 |
| Central Bakery | Bridgeton | Grocery stores | F | 8.9 |
| Wm 2955 | Kansas City | Warehouse Clubs and Supercen | F | 8.9 |
| Hannibal Regional Healthcare System | Hannibal | - | C | 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 |
| Anglers Lodge Hollister | Hollister | Hotels (except casino hotels | F | 8.9 |
| All Seasons Comfort Systems, LLC | Reeds Spring | Air system balancing and tes | F | 8.9 |
| 052 TA Oak Grove | Oak Grove | Truck stops | F | 8.9 |
| 281242-Camdenton Po | Camdenton | Mail and Parcel Delivery | D | 8.9 |
| Berkeley DC Fresh | Berkeley | Bonded warehousing, refriger | 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 |
| Shangri-La | Blue Springs | Nursing Care Facilities | D | 8.9 |
| The Home City Ice Company - Pacific - 440 | Pacific | Ice, dry, manufacturing | F | 8.9 |
| Wilbert Funeral Services Grandview | Grandview | Precast concrete products (e | F | 8.9 |
| Union Center (Mounn) | Union | Courier Services Except by A | D | 8.9 |
| Marshfield Care Center for Rehab and Healthcare | Marshfield | Skilled nursing facilities | 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 |
| 2807-0731 | Chesterfield | Homecenter | F | 8.9 |
| 4186-06239 | Florissant | Dollar Stores | F | 8.9 |
| Wm 30 | Dexter | Warehouse Clubs and Supercen | F | 8.9 |
| St Louis MO 064 | Fenton | - | D | 8.9 |
| 547 Springfield | Strafford | Freight Trucking LTL | D | 8.9 |
| 287199-Stl-Sappington Br | Saint Louis | Mail and Parcel Delivery | D | 8.9 |
| RRSC St. Louis Market | St. Charles | Sewer & Drain Cleaning | F | 8.8 |
| Manchester Packaging Company | St. James | Flexible packaging, plastics | F | 8.8 |
| US Tool Group - Farmington | Farmington | Magnetic forming machines, m | F | 8.8 |
| Wm 4590 | Lees Summit | Warehouse Clubs and Supercen | F | 8.8 |
| The Bungalows at Nevada | Nevada | Assisted-living facilities w | F | 8.8 |
Two PlainSafetyScore-derived peer sets for Missouri: nearest states and territories by rated-subset average Total Case Rate and by OSHA-reporting employer inventory. These are cross-state neighborhoods, not the employer list above.
Nearest states by rated-subset Total Case Rate (5.1 here).
Nearest states by reporting employer count (10,075 here).
Look up a Missouri employer → · Compare all states → · How TCR is measured →
Read our methodology - how this data is sourced, computed, and verified.
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.