Clive, IA —
OSHA Injury Report: 103 Clive
Injury · Other recordable case
At a glance
On , an injury at 103 Clive in Clive, IA 50325 resulted in other recordable case. Employee was asm in department Store.
Where did this happen?
- Establishment
- 103 Clive
- Parent company
- Kohls Inc
- Street
- 10201 University Ave
- City
- Clive
- State
- IA
- ZIP
- 50325
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Merchandise Set
What happened
Panel slid off the suction cup and hit his face.
Injury or illness
Laceration Head Multiple Head Injury
Object or substance involved
Fixture Display
Summary line
Panel slid off the suction cup and hit his face.
Employee and industry
- Job description
- Asm
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 78
- Total hours worked
- 73902
- EIN
- 133357362
- Establishment ID
- 1306460
- Employer case #
- K-24-09049
When (timing detail)
- Date of incident
- Time of incident
- 14:09
- Filing year
- 2024
- Submitted
- 21FEB2025:20:20:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.