Monument, CO —
OSHA Injury Report: 1064 Monument
Injury · Other recordable case
At a glance
On , an injury at 1064 Monument in Monument, CO 80132 resulted in other recordable case. Employee was full Time Flex in department Store.
Where did this happen?
- Establishment
- 1064 Monument
- Parent company
- Kohls Inc
- Street
- 15866 Jackson Creek Pkwy
- City
- Monument
- State
- CO
- ZIP
- 80132
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Recovery
What happened
[REDACTED] slipped on some water that was on the tile floor after our custodian went by with the kivac machine. She slipped and landed on her left foot.
Injury or illness
Strain or Tear Lower Extremities Foot
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
[REDACTED] slipped on some water that was on the tile floor after our custodian went by with the kivac machine. She slipped and landed on her left foot.
Employee and industry
- Job description
- Full Time Flex
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 42
- Total hours worked
- 42980
- EIN
- 133357362
- Establishment ID
- 1307209
- Employer case #
- K-24-09031
When (timing detail)
- Date of incident
- Time of incident
- 9:00
- 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.