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 |
|---|---|---|---|---|
| Missouri Delta Medical Center | Sikeston | General medical and surgical | B | 4.1 |
| 4021-000010222 | Bonne Terre | Food Services | D | 4.1 |
| Blue Springs Service Center | Blue Springs | Electric Power Distribution | F | 4.1 |
| 3399_6548 | Imperial | - | D | 4.1 |
| Hardwoods of Missouri LLC | Birch Tree | Parquet flooring, hardwood, | D | 4.1 |
| Edge Manufacturing, Inc. | Pevely | Blades, saw, all types, manu | D | 4.1 |
| Fabrication 1 | Kansas City | Fabricated structural metal | D | 4.1 |
| Stainless Steel Limited | Miller | Sheet metal work (except sta | D | 4.1 |
| Kallmeyer Bros. Enterprises, Inc. | Hermann | General freight trucking, lo | C | 4.1 |
| St. Louis-Staples Delivery Operations (SDO) | St. Louis | Express delivery services (e | B | 4.1 |
| Standard Transportation Services Inc | Joplin | General warehousing and stor | B | 4.1 |
| Fulton Manor | Fulton | Nursing homes | B | 4.1 |
| Live! by Loews - St. Louis, MO | St Louis | Hotels and Motels | D | 4.1 |
| 4021-610506100 | Kansas City | Food Services | D | 4.1 |
| Tropical Smoothie Cafe | Springfield | Restaurants, fast food | D | 4.1 |
| Farmington | Farmington | Retail | D | 4.0 |
| Insituform Technologies USA LLC | Chesterfield | Construction management, wat | D | 4.0 |
| Total Building Solutions, LLC | Bourbon | Iron work, structural, contr | D | 4.0 |
| Coastal Energy Corporation | Willow Springs | Asphalt Paving Mixture and B | D | 4.0 |
| STL Dekalb | St. Louis | Carbon organic compounds, no | D | 4.0 |
| The Greenbrier Companies, Jackson | Jackson | Machine shops | D | 4.0 |
| Hirsch Feed and Farm Supply, Inc. of West Plains, MO | West Plains | Farm supply stores | C | 4.0 |
| 5693 | Springfield | Supermarkets and Other Groce | C | 4.0 |
| 4541 Sns St Louis 1828-New Fenton (S | Fenton | SUPERMARKETS AND OTHER GROCE | C | 4.0 |
| 122 | Jackson | Warehouse Clubs and Supercen | C | 4.0 |
| Golf and Country Club | St. Louis | Golf and country clubs | D | 4.0 |
| Denny Hornbeck Construction Company, Inc. | Defiance | Apartment building construct | C | 4.0 |
| IES of Marshall, Inc. | Marshall | Remodeling and renovating ge | C | 4.0 |
| Fleshman Construction | North Kansas City | Concrete pouring | D | 4.0 |
| General Mills (Kansas City) | Kansas City | Wheat flour manufacturing | D | 4.0 |
| Simmons Animal Nutrition-Milan | Milan | - | D | 4.0 |
| US Reel Corporation | Carrollton | Reels, wood, manufacturing | D | 4.0 |
| Metaltech Products Inc. | Lebanon | Tinfoil not made in rolling | D | 4.0 |
| Major Custom Cable | Jackson | Communications wire and cabl | D | 4.0 |
| Hti - Smithville | Smithville | Farm machinery and equipment | D | 4.0 |
| Hydromat, INC | Maryland Heights | Metalworking machinery and e | D | 4.0 |
| Div. 181 | N. Kansas City | General warehousing and stor | B | 4.0 |
| CS KC South | Kansas City | Home Health Care Services | B | 4.0 |
| Cedar County Memorial Hospital | El Dorado Springs | Hospitals, general medical a | B | 4.0 |
| Delhaven Manor | Saint Louis | Skilled nursing facilities | B | 4.0 |
| Natures Bakery, LLC | Hazelwood | Commercial bakeries | D | 4.0 |
| 8th Avenue Food & Provisions | Hazelwood | Seeds, snack (e.g., canned, | C | 4.0 |
| Davis Paint Co | North Kansas City | Architectural coatings (i.e. | D | 4.0 |
| Lakeside Casting Solutions - primary facility | Monroe City | Zinc die-castings, unfinishe | D | 4.0 |
| 4186-00947 | University City | Dollar Stores | C | 4.0 |
| Mercy Hospital Washington | Washington | General medical and surgical | B | 4.0 |
| Legends - KC Starlight Theatre | Kansas City | Food service contractors, co | D | 4.0 |
| Bolivar Headquarters | Bolivar | Distribution of electric pow | F | 4.0 |
| Plant 1 | Chillicothe | glove manufacturing | D | 4.0 |
| Bed Bath and Beyond Kansas City North | Kansas City | retailing new home furnishin | C | 4.0 |
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.