Lynnwood, WA —
OSHA Injury Report: 1076 Lynnwood
Injury · Days away from work
At a glance
On , an injury at 1076 Lynnwood in Lynnwood, WA 98037 resulted in days away from work. Employee was area Supervisor in department Store.
Where did this happen?
- Establishment
- 1076 Lynnwood
- Parent company
- Kohls Inc
- Street
- 18405 Alderwood Mall Pkwy
- City
- Lynnwood
- State
- WA
- ZIP
- 98037
- On-site location
- Stockroom/Dock
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 38
- Days restricted or transferred
- 64
Before the incident
Truck Unload Load
What happened
I missed the ramp and my right leg fell in between the truck and the dock. I used my right arm to catch myself.
Injury or illness
Fracture Upper Extremities Elbow
Object or substance involved
Dock Door Dock Plate
Summary line
I missed the ramp and my right leg fell in between the truck and the dock. I used my right arm to catch myself.
Employee and industry
- Job description
- Area Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 64
- Total hours worked
- 64643
- EIN
- 133357362
- Establishment ID
- 1307219
- Employer case #
- K-24-08715
When (timing detail)
- Date of incident
- Time of incident
- 9:30
- 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.