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 |
|---|---|---|---|---|
| Gainesville Health Care Cener | Gainesville | Skilled nursing facilities | D | 8.6 |
| 1392 - Lees Summit | Lees Summit | Discount Department Stores | F | 8.6 |
| Martin County Division | Columbia | Water treatment and distribu | F | 8.6 |
| 4186-02070 | Fulton | Dollar Stores | F | 8.6 |
| Main Location | St Charles | Other Electronic Component M | F | 8.5 |
| RPCS Inc dba Ramey # 9 | West Plains | Grocery stores | F | 8.5 |
| Laurie Care Center | Laurie | Skilled nursing facilities | D | 8.5 |
| Wehmeier Drywall, Inc. | O Fallon | Drywall installation | F | 8.5 |
| Missouri Organic Recycling, In | Liberty | Waste materials merchant who | F | 8.5 |
| 4040 Main Street | Kansas City | Blood donor stations | F | 8.5 |
| Independence, MO-Biolife 876 | Independence | Plasmapheresis Center | F | 8.5 |
| Springfield (Mospn) | Springfield | General Freight Trucking Loc | D | 8.5 |
| 4837-9137 St Lukes Rehab | Chesterfield | - | F | 8.5 |
| Supreme Cuisine | Montgomery City | Meats, packaged frozen, merc | F | 8.5 |
| 286096-Ozark Po | Ozark | Mail and Parcel Delivery | D | 8.5 |
| DP Maiden | Joplin | Residential Mental Health & | F | 8.5 |
| Beerman Heating & Cooling Inc. | Marshall | Heating, ventilation and air | F | 8.5 |
| RL Persons Construction Inc. | Poplar Bluff | Excavating, earthmoving, or | F | 8.5 |
| Sedalia Plant | Sedalia | Poultry Processing | F | 8.5 |
| 287191-Stl-Mackenzie Pointe Br | Saint Louis | Mail and Parcel Delivery | D | 8.5 |
| Mohol - Branson Center | Hollister | Couriers and Express Deliver | D | 8.5 |
| Amazon.com Services LLC - MCI3 | Liberty | General Warehousing and Stor | D | 8.5 |
| Smithflooring | Mountain View | Cornices, wood, manufacturin | F | 8.5 |
| 402TWN | Town & Country | - | F | 8.5 |
| 2253-H4612 | Kansas City | General Medical and Surgical | F | 8.5 |
| Drury Inn & Suites - St. Louis Westport | Maryland Heights | Hotels (except casino hotels | F | 8.5 |
| Brooklyn Plant | Kansas City | Laundry services, linen supp | F | 8.5 |
| Mars Mo | Earthcity | Warm air heating equipment m | F | 8.5 |
| Sikeston Center (Molar) | Sikeston | Courier Services Except by A | D | 8.5 |
| Stlsc General Concessions | Saint Louis | - | F | 8.5 |
| LANDAU | Lebanon | Boat yards (i.e., boat manuf | F | 8.5 |
| 914 Quipco | St Louis | Grocery Store | F | 8.5 |
| Riverview at the Park, Inc. | Ste. Genevieve | Nursing homes | D | 8.5 |
| Capetown Assisted Living | Cape Girardeau | Assisted-living facilities w | F | 8.5 |
| Select Genetics MO Crestview 006-0138-CV | Mt Vernon | Turkey Production | D | 8.5 |
| Gateway Liners | Hazelwood | Film, plastics (except packa | F | 8.5 |
| Lindsay Machine Works Inc | Independence | Machine shops | F | 8.5 |
| 2807-1966 | Maplewood | Homecenter | F | 8.5 |
| St. Joseph Center for Outpatient Surgery | St. Joseph | Ambulatory surgical centers | F | 8.5 |
| Eldecon, Inc. | Kansas City | Electrical contractors | F | 8.4 |
| True Manufacturing Mexico | Mexico | Coolers, refrigeration, manu | F | 8.4 |
| Kansas City, MO | Kansas City | Industrial supplies (except | F | 8.4 |
| 2345 - Wentzville | Wentzville | Discount Department Stores | F | 8.4 |
| Wm 219 | Sedalia | Warehouse Clubs and Supercen | F | 8.4 |
| Belton Regional Medical Center | Belton | General medical and surgical | C | 8.4 |
| Atlantic Pork | Paris | 112210 Hog and Pig Farming | D | 8.4 |
| NKC - main office | North Kansas City | Auto body shop supplies, mer | F | 8.4 |
| 287204-Stl-West County Br | St Louis | Mail and Parcel Delivery | D | 8.4 |
| Kabul Nursing Homes, Inc. | Cabool | Nursing homes | D | 8.4 |
| Ste. Genevieve Industries | Ste. Genevieve | Ammunition boxes, wood, manu | F | 8.4 |
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.