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 73 of 201| Employer | City | Industry | Grade | Avg TCR |
|---|---|---|---|---|
| Solstice Senior Living at Fenton | Fenton | Assisted-living facilities w | D | 4.9 |
| West Star Aviation | Perryville | Aircraft maintenance and rep | C | 4.9 |
| Fixture Contracting Co., Inc. | St Louis | Building framing (except str | D | 4.9 |
| COU | Columbia | General freight trucking, lo | C | 4.9 |
| American Spotting Company of California | St. Louis | Shunting of trailers in truc | C | 4.9 |
| 05C3 | Kansas City | Car rental agencies | F | 4.9 |
| R+L Carriers - SPR | Strafford | - | C | 4.8 |
| J.H. Berra Construction Co., Inc. | St Louis | Construction management, wat | D | 4.8 |
| The Fountains at Greenbriar | Independence | Assisted-living facilities w | D | 4.8 |
| 607-STLLH | St. Peters | Transportation | C | 4.8 |
| Audrain Health Care, Inc. | Mexico | General medical and surgical | B | 4.8 |
| Parkdale Manor | Maryville | Nursing homes | B | 4.8 |
| Kansas City Hospice | Kansas City | Hospice care services, in ho | C | 4.8 |
| N and R of Sweet Springs Inc | Sweet Springs | Skilled Nursing Facility | B | 4.8 |
| Mercy Hospital St Louis | Saint Louis | Children's hospitals, genera | B | 4.8 |
| 24/7 Express Logistics, Inc. | Kansas City | Delivery service (except as | C | 4.8 |
| Winco Window | St Louis | Windows, metal, manufacturin | D | 4.8 |
| 300000170856360 - MO-Kansas City-Intermodal Office | Kansas City | - | C | 4.8 |
| REPUBLIC_1379110 | Republic | Mail and Parcel Delivery | C | 4.8 |
| Webb City_1386773 | Webb City | Mail and Parcel Delivery | C | 4.8 |
| Mount Carmel Communities, LLC | St. Charles | Group homes for the disabled | B | 4.8 |
| 8027595-Clacor Industrial Air | Slater | Staffing | D | 4.8 |
| 287141-St Louis Ndc | Hazelwood | Mail and Parcel Delivery | C | 4.8 |
| 280756-Blue Springs Po | Blue Springs | Mail and Parcel Delivery | C | 4.8 |
| Watco Maufacturing Company | Independence | Drain cocks, plumbing, manuf | D | 4.8 |
| Plasma Biological Services - St. Joseph, MO | St. Joseph | Plasmapheresis centers | D | 4.8 |
| SteakNShake | Canton | Restaurants, fast food | D | 4.8 |
| Golden Eagle Dist. Hannibal | Hannibal | Beer merchant wholesalers | F | 4.8 |
| A-1 Moving & Storage, Inc. | Rolla | Used household and office go | C | 4.8 |
| RPCS Inc. dba Price Cutter # 34 | Springfield | Grocery stores | D | 4.8 |
| Stonebridge Senior Liiving - Desoto | Desoto | Convalescent homes or conval | B | 4.8 |
| Cedarhurst Living, LLC - Lebanon | Lebanon | Assisted-living facilities w | D | 4.8 |
| Presence From Innovation | Hazelwood | Store display fixtures manuf | D | 4.8 |
| Wm 51 | Fulton | Warehouse Clubs and Supercen | D | 4.8 |
| Roaring River Health & Rehab | Cassville | Nursing care facilities | B | 4.8 |
| Philadelphia Macaroni Company | Lee'S Summit | Dry pasta manufacturing | D | 4.8 |
| Food Giant #596 | Advance | Grocery stores | D | 4.8 |
| MilliporeSigma - Broadway | St. Louis | Culture media manufacturing | D | 4.8 |
| Tracker Marine-Clinton | Clinton | Boats (i.e., suitable or int | D | 4.8 |
| Mt. Vernon Facility | Springfield | Connectors, electronic (e.g. | D | 4.8 |
| Nu Way Concrete Forms Wentzville, LLC | Wentzville | Building materials supply de | D | 4.8 |
| Kitchen Fabricating Equipment - Counter Craft | Houston | Angle irons, metal, manufact | D | 4.8 |
| Lawrence Fabric Structures inc | St. Louis | Awnings, sheet metal (except | D | 4.8 |
| 276 Shackelford | Florissant | Grocery Store | D | 4.8 |
| Steward Steel Inc. | Sikeston | Structural steel, fabricated | D | 4.8 |
| 056 - Geraldine | St. Louis | Electric Power Transmission, | F | 4.8 |
| 7072 | Cape Girardeau | Supermarkets and Other Groce | D | 4.8 |
| Poplar Bluff Regional Medical Center-North & South & Oak Grove | Poplar Bluff | - | C | 4.8 |
| Mercy Clinic Fremont Building | Springfield | MDs' (medical doctors, excep | D | 4.8 |
| KCP&L - Blue Springs Service Center | Blue Springs | Electric power generation, f | F | 4.8 |
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.